PATRICK J VAUGHAN MD INC A PROFESSIONAL MEDICAL CORPORATION NPI 1922293729

NPI Information

NPI: 1922293729
Provider Name: PATRICK J VAUGHAN MD INC, A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: MORRO FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
685 MORRO AVENUE
MORRO BAY, CA
ZIP 93442
Phone: (805) 772-7313
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PATRICK J VAUGHAN MD INC, A PROFESSIONAL MEDICAL CORPORATION is a primary care clinic center in Morro Bay, CA. PATRICK J VAUGHAN MD INC, A PROFESSIONAL MEDICAL CORPORATION NPI is 1922293729. The provider is registered as an organization entity type.
The provider Is Doing Business As Morro Family Practice.

The provider's business location address is:

685 MORRO AVENUE
MORRO BAY, CA
ZIP 93442-266
Phone: (805) 772-7313

The provider's authorized official is Patrick Joseph Vaughan .
The authorized official title is President and has the following contact phone number (805) 772-7313.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 9/19/2011.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	G45794	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W21337	MEDICARE PIN
2	DH0630	MEDICARE 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: 5/5/2024

NPI Synchronization or Removal

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