Coastal Prestige Clinic
Coastal Prestige Clinic is a Family Psychologist in Shell Beach, California. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
1677 Shell Beach RdShell Beach, CA 93449-1927
Phone: (805) 416-2263
Fax: (805) 201-9134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X |
|---|---|
| Family Psychologist | Taxonomy 103TF0000X |
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1487254413 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johnnie Ham — Ceo · (805) 416-2263 |
| NPI enumerated | October 28, 2020 |
| Last updated in NPPES | October 28, 2020 |
| Certification date | October 28, 2020 |
| Mailing address | 1677 Shell Beach Rd, Shell Beach, CA 93449-1927 |