OrganizationActive
Department of State Hospital Coalinga
NPI 1780181222 · Prison Health Clinic/Center · Coalinga, CA
Provider details
- NPI number
- 1780181222
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jeoung Park, Clinical Psychologist
Mailing address
24511 W Jayne Ave
Coalinga, CA 93210-9516
Registry dates
- Enumerated
- 2018-04-11
- Last updated
- 2018-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.