County Of San Luis Obispo
Specialty details in registry · San Luis Obispo, CA
At a glance
2494 Pennington Creek Rd, San Luis Obispo, CA 93405-7841
NPPES record updated Sep 29, 2014. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
2494 Pennington Creek RdSan Luis Obispo, CA 93405-7841
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Sep 29, 2014
- Record updated
- Sep 29, 2014
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2494 Pennington Creek RdSan Luis Obispo, CA 93405-7841
- Phone
- (805) 781-4700
Mailing address
2178 JOHNSON AVESAN LUIS OBISPO, CA 934014535
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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