MIDDLE PATH MEDICINE NPI 1497924260

NPI Information

MIDDLE PATH MEDICINE is a primary care clinic center in Arroyo Grande, CA. MIDDLE PATH MEDICINE NPI is 1497924260. The provider is registered as an organization entity type.

The provider's business location address is:

180 W LE POINT ST
#A
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 481-3442
Fax: (805) 481-3443

The provider's authorized official is Miranda Elise Foresman .
The authorized official title is Office Manager and has the following contact phone number (805) 481-3442.

The CLIA number assigned to this NPI record is 05D0996809 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 9/21/2011.

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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