RESTORATIVE MEDICAL PC NPI 1053872713

NPI Information

NPI: 1053872713
Provider Name: RESTORATIVE MEDICAL PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1767 S BROADWAY
SANTA MARIA, CA
ZIP 93454
Phone: (805) 614-7820
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RESTORATIVE MEDICAL PC is a general practice in Santa Maria, CA. RESTORATIVE MEDICAL PC NPI is 1053872713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1767 S BROADWAY
SANTA MARIA, CA
ZIP 93454-603
Phone: (805) 614-7820

The provider's authorized official is Matthew Egbert .
The authorized official title is Ceo and has the following contact phone number (805) 614-7820.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

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

NPI Synchronization or Removal

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