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CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES NPI 1558461418


NPI Information

NPI: 1558461418
Provider Name: CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1035 PEACH ST
SUITE 301
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 545-5665
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CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES is an otolaryngology in San Luis Obispo, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES NPI is 1558461418. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1035 PEACH ST
SUITE 301
SAN LUIS OBISPO, CA
ZIP 93401-700
Phone: (805) 545-5665
Fax: (805) 544-6477

The provider's authorized official is William J. Watson .
The authorized official title is Owner and has the following contact phone number (805) 545-5665.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 11/28/2007.


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
1207Y00000XOtolaryngologyG42368CALIFORNIAYes

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
1A48927MEDICARE UPIN
2W7155MEDICARE PIN
34306521OTHERCALIFORNIAAETNA PIN
4ZZZ25994ZOTHERCALIFORNIABLUE SHIELD PIN
5GROO46750MEDICAIDCALIFORNIA

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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