| Coastal Health Alliance | |
| 
					65 Third Street Suite 13 Point Reyes Station CA 94956  | |
| (415) 787-1123 | |
| Not Available | 
| Full Name | Coastal Health Alliance | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 65 Third Street, Point Reyes Station, California | 
| Authorized Official Name and Position | Dinelle Marie Abram (ADMINISTRATIVE ASSISTANT) | 
| Authorized Official Contact | 4156638781 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coastal Health Alliance Po Box 910 Point Reyes Station CA 94956-0910 Ph: (415) 663-8781  | Coastal Health Alliance 65 Third Street Suite 13 Point Reyes Station CA 94956 Ph: (415) 787-1123  | 
| NPI Number | 1083179360 | 
|---|---|
| Provider Enumeration Date | 01/31/2019 | 
| Last Update Date | 01/31/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083179360 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |