IndividualActive
Charles Coffee
NPI 1598640955 · Contractor · San Rafael, CA
Provider details
- NPI number
- 1598640955
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1500 Los Gamos Dr
San Rafael, CA 94903-1841
Phone: (415) 630-3557
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Los Gamos Dr
San Rafael, CA 94903-1841
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.