KEN STARR MD WELLNESS GROUP NPI 1598195810

NPI Information

NPI: 1598195810
Provider Name: KEN STARR MD WELLNESS GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2074378

Address:
107 NELSON ST
ARROYO GRANDE, CA
ZIP 93420
Phone: (626) 797-9977
Get Directions

KEN STARR MD WELLNESS GROUP is a multi-specialty clinic center in Arroyo Grande, CA. KEN STARR MD WELLNESS GROUP NPI is 1598195810. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

107 NELSON ST
ARROYO GRANDE, CA
ZIP 93420-318
Phone: (626) 797-9977
Fax: (626) 844-2977

The provider's authorized official is Ken Starr .
The authorized official title is Owner and has the following contact phone number (626) 797-9977.

The CLIA number assigned to this NPI record is 05D2074378 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2013 and was last updated on 7/19/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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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