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CENTRAL COAST CHEST CONSULTANTS A MEDICAL CORPORATION NPI 1740267574


NPI Information

NPI: 1740267574
Provider Name: CENTRAL COAST CHEST CONSULTANTS A MEDICAL CORPORATION

Doing Business As: CENTRAL COAST CHEST CONSULTANTS MEDICAL CORPORATION

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1428 PHILLIPS LN
SUITE 203
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 543-4407
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CENTRAL COAST CHEST CONSULTANTS A MEDICAL CORPORATION is a critical care medicine internal medicine in San Luis Obispo, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. CENTRAL COAST CHEST CONSULTANTS A MEDICAL CORPORATION NPI is 1740267574. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Central Coast Chest Consultants Medical Corporation.

The provider's business location address is:

1428 PHILLIPS LN
SUITE 203
SAN LUIS OBISPO, CA
ZIP 93401-537
Phone: (805) 543-4407
Fax: (805) 543-4587

The provider's authorized official is Mark I Soll .
The authorized official title is President and has the following contact phone number (805) 543-4407.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 7/6/2022.


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
1207R00000XInternal MedicineA62340CALIFORNIANo
2207RP1001XInternal MedicinePulmonary Disease2070377CALIFORNIANo
3207RC0200XInternal MedicineCritical Care Medicine2070377CALIFORNIAYes

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
1ZZZ25763ZOTHERCALIFORNIABLUE SHIELD PIN - PHILLIP
2184149800OTHERUS DOL PIN
3ZZZ138136ZOTHERCALIFORNIABLUE SHIELD PIN - FRENCH
4ZZZ13198ZOTHERCALIFORNIABLUE SHIELD TEMPLETON
5GR0046460MEDICAIDCALIFORNIA
6ZZZ138137ZOTHERCALIFORNIABLUE SHIELD PIN - SVRMC

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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