| Coast Psychiatry Medical Group | |
|
1000 Fremont Ave Ste 250a Los Altos CA 94024-6058 | |
| (650) 629-7532 | |
| (650) 282-4459 |
| Full Name | Coast Psychiatry Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1000 Fremont Ave Ste 250a, Los Altos, California |
| Authorized Official Name and Position | Inna Larsen (PSYCHIATRIST) |
| Authorized Official Contact | 6503807194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Psychiatry Medical Group 555 Bryant St Ste 378 Palo Alto CA 94301-1704 Ph: (650) 380-7194 | Coast Psychiatry Medical Group 1000 Fremont Ave Ste 250a Los Altos CA 94024-6058 Ph: (650) 629-7532 |
| NPI Number | 1265229553 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265229553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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