CENTRAL COAST OBSTETRICS & GYNECOLOGY INC. NPI 1013181817

NPI Information

CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC. is an obstetrics gynecology in San Luis Obispo, 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 1013181817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 CASA STREET
SUITE 220
SAN LUIS OBISPO, CA
ZIP 93405-890
Phone: (805) 548-0775
Fax: (805) 548-0777

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 4/14/2008 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:

Other Identifiers

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