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CENTRAL COAST OBSTETRICS & GYNECOLOGY INC. NPI 1285808733


NPI Information

NPI: 1285808733
Provider Name: CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
350 POSADA LANE
SUITE 202
TEMPLETON, CA
ZIP 93405
Phone: (805) 434-5497
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CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC. is an obstetrics gynecology in Templeton, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC. NPI is 1285808733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 POSADA LANE
SUITE 202
TEMPLETON, CA
ZIP 93405-890
Phone: (805) 434-5497
Fax: (805) 434-0917

The provider's authorized official is Danny Leroy Lickness .
The authorized official title is President and has the following contact phone number (805) 544-8811.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 6/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W15907MEDICARE PINCALIFORNIA
2GR0092204MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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