PACIFIC CENTRAL COAST HEALTH CENTERS NPI 1184014565

NPI Information

PACIFIC CENTRAL COAST HEALTH CENTERS is a community health clinic center in San Luis Obispo, CA. PACIFIC CENTRAL COAST HEALTH CENTERS NPI is 1184014565. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Clinic At Peach.

The provider's business location address is:

1250 PEACH ST
SUITE A
SAN LUIS OBISPO, CA
ZIP 93401-837
Phone: (805) 543-4043
Fax: (805) 783-0537

The provider's authorized official is Matthew Richardson .
The authorized official title is Chief Financial Officer and has the following contact phone number (805) 739-3108.

The CLIA number assigned to this NPI record is 05D2113092 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/23/2015 and was last updated on 11/12/2018.

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:

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