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CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER INC. NPI 1235129255


NPI Information

NPI: 1235129255
Provider Name: CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER, INC.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
310 S HALCYON RD
SUITE 106
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 473-3705
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CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER, INC. is a pain medicine physical medicine rehabilitation in Arroyo Grande, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER, INC. NPI is 1235129255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 S HALCYON RD
SUITE 106
ARROYO GRANDE, CA
ZIP 93420-872
Phone: (805) 473-3705
Fax: (805) 473-4832

The provider's authorized official is Andrew G. Monroy .
The authorized official title is Director and has the following contact phone number (805) 473-3705.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 3/4/2008.


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
12081P2900XPhysical Medicine & RehabilitationPain Medicine2709131CALIFORNIAYes

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
1W18652MEDICARE PINCALIFORNIA
2ZZZ64728ZOTHERCALIFORNIATRIWEST
3ZZZ64728ZOTHERCALIFORNIABLUE SHIELD GROUP PIN

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: 4/28/2024

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