Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COASTAL FUNCTIONAL MEDICINE
Active OrganizationCOASTAL FUNCTIONAL MEDICINE is a Family Medicine organization located in FORT BRAGG, California. NPI 1487328951 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT BRAGG, CA
Registration Details
- NPI Number
- 1487328951
- Provider Type
- Organization
- NPI Issued
- Aug 6, 2021 (4.8413920094637 yrs)
- Last Updated
- Aug 6, 2021
Practice Information
- Address
-
17800 FREITAS LNFORT BRAGG, CA, 954378329Browse CA providers · Browse ZIP 95437
- Phone
- 7074409898
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.