PACIFIC CENTRAL COAST HEALTH CENTERS NPI 1932598521

NPI Information

PACIFIC CENTRAL COAST HEALTH CENTERS is a community health clinic center in Atascadero, CA. PACIFIC CENTRAL COAST HEALTH CENTERS NPI is 1932598521. The provider is registered as an organization entity type.
The provider Is Doing Business As Med Plus Atascadero.

The provider's business location address is:

5920 WEST MALL
ATASCADERO, CA
ZIP 93422
Phone: (805) 739-3890
Fax: (805) 347-7697

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 05D2095351 - community clinic 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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