Coastal Psychiatry Care Profess
Coastal Psychiatry Care Profess is a Psychiatric/Mental Health Nurse Practitioner in Pismo Beach, California. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
128 La ColimaPismo Beach, CA 93449
Phone: (805) 608-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1336062777 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anna Hadilaksono — Owner · (805) 608-5310 |
| NPI enumerated | August 3, 2026 |
| Last updated in NPPES | August 3, 2026 |
| Certification date | July 21, 2026 |
| Mailing address | 128 La Colima, Pismo Beach, CA 93449-2841 |