Coastal Functional Medicine
Organization Active NPI Family Medicine Physician · Fort Bragg, CA
NPI 1487328951 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1487328951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COASTAL FUNCTIONAL MEDICINE
- Practice address
- 17800 Freitas LN
Fort Bragg, CA 95437-8329 - Phone
- (707) 440-9898
- NPI assigned
- Aug 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Sandra Fleming, MD
- Title
- Ceo
- Phone
- (707) 440-9898
Practitioners 1
-
Sandra Fleming, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
17800 Freitas LN
Fort Bragg, CA 95437-8329
Mailing address
17800 Freitas LN
Fort Bragg, CA 95437-8329
Phone (707) 440-9898
Other providers in Fort Bragg, CA
- Cep America - Neurology PC
- Anne Marie Cesario
- Deborah Chang
- Yulee Chang
- Coast Healthcare Supply
- Code 3 Mind Health, Inc.
- Abraham P Cohen
- Tabetha Connell
- Phillip Conwell Jr.
- John Ernest Cottle Jr.
All providers in Fort Bragg, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.