PACIFIC CENTRAL COAST HEALTH CENTERS NPI 1922497510

NPI Information

PACIFIC CENTRAL COAST HEALTH CENTERS is a community health clinic center in Los Osos, CA. PACIFIC CENTRAL COAST HEALTH CENTERS NPI is 1922497510. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Clinic At Bayview.

The provider's business location address is:

2238 BAYVIEW HEIGHTS DR
SUITE G
LOS OSOS, CA
ZIP 93402-921
Phone: (805) 534-1305
Fax: (805) 534-1347

The provider's authorized official is Matthew Richardson .
The authorized official title is Chief Financial Officer and has the following contact phone number (805) 739-3108.

The CLIA number assigned to this NPI record is 05D0910336 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 11/12/2018.

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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