Search › California › 122300000X
Jonathan Coutin, DDS
NPI 1548631443 · on the registry since 2015
Practice
- Address
- 550 E Washington Blvd Ste 100
Crescent City, CA 95531 - Phone
- (707) 465-6925
- Fax
- (707) 387-9808
- Organisation at this address
- Applied Intervention
Del Norte Healthcare District
Open Door Community Health Centers
Open Door Community Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Additional practice sites
- 4723 W Main St Ste H, Guadalupe, CA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
122300000X - Licence states on file
- OR, TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California