Charles Coffee

Contractor · San Rafael, CA

Individual Active NPI

NPI number 1598640955

Practice location

1500 Los Gamos Dr
San Rafael, CA 94903-1841
Phone
(415) 630-3557

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NPI record

NPI
1598640955
Entity type
Individual (Type 1)
Enumeration date
August 6, 2025
Last updated
August 6, 2025
Certified
August 6, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

About Charles Coffee

Charles Coffee is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1500 Los Gamos Dr, San Rafael, CA 94903-1841. The NPI number 1598640955 was assigned on August 6, 2025 and the record was last updated on August 6, 2025.

Frequently asked questions

What is the NPI number of Charles Coffee?

The NPI number is 1598640955.

What is the phone number of Charles Coffee?

The phone number listed for the practice location is (415) 630-3557.

Where is Charles Coffee located?

1500 Los Gamos Dr, San Rafael, CA 94903-1841.

What is the taxonomy code for Charles Coffee?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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