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NPI Code Detail

MEDICARE: CHELSEA A HASTINGS D.O.

MEDICARE: CHELSEA A HASTINGS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician279343MA
2208000000XPediatrics Physician20A20173CA

General Provider Information

NPI Number : 1942654371
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA A HASTINGS D.O.
Provider Business Mailing Address
First Line : 1100 LARKSPUR LANDING CIR STE 10
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1836
Country : US
Telephone Number : 415-464-1350
Fax Number :
Provider Business Practice Location Address
First Line : 1100 LARKSPUR LANDING CIR STE 10
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1836
Country : US
Telephone Number : 415-464-1350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 04/04/2025

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Directions to “ CHELSEA A HASTINGS D.O.” Practice Location

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