San Luis Obispo Family Healthcare A Medical Corporation in San Luis Obispo - Family Medicine
San Luis Obispo Family Healthcare A Medical Corporation - NPI 1033111224
San Luis Obispo Family Healthcare A Medical Corporation is a Family Medicine in San Luis Obispo, California. San Luis Obispo Family Healthcare A Medical Corporation practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for San Luis Obispo Family Healthcare A Medical Corporation is 1033111224. The last update date is 2011-01-03.
San Luis Obispo Family Healthcare A Medical Corporation's current location address is 1250 Peach St, San Luis Obispo, California. You can contact this provider via phone number 8055960900 and fax number 8055960411. The mailing address for San Luis Obispo Family Healthcare A Medical Corporation is 1250 Peach St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Luis Obispo Family Healthcare A Medical Corporation |
|---|---|
| Address | 1250 Peach St, San Luis Obispo, California |
| Phone Number | 8055960900 |
| Fax Number | 8055960411 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lotz H Laurence |
| Credentials | M.D. |
| Telephone Number | 8055960900 |
NPI Number Detail
| NPI Number | 1033111224 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2011-01-03 |
Provider Mailing Address Detail
| Address | 1250 Peach St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 9340128710 |
| Phone Number | 8055960900 |
| Fax Number | 8055960411 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2415081 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0094260 | CA | -- | |
| ZZZ04910Z | CA | BLUE SHIELD OF CA GRP PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to San Luis Obispo Family Healthcare A Medical Corporation?
The San Luis Obispo Family Healthcare A Medical Corporation has been issued the NPI (National Provider Identifier) 1033111224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where San Luis Obispo Family Healthcare A Medical Corporation's facilities are geographically located?
The facilities of San Luis Obispo Family Healthcare A Medical Corporation are physically situated at the following location: 1250 Peach St, San Luis Obispo, CA, 9340128710.
What is San Luis Obispo Family Healthcare A Medical Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for San Luis Obispo Family Healthcare A Medical Corporation is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033111224 to San Luis Obispo Family Healthcare A Medical Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1033111224 to San Luis Obispo Family Healthcare A Medical Corporation on 2005-06-01.
When was the information pertaining to San Luis Obispo Family Healthcare A Medical Corporation most recently updated or revised?
The details related to San Luis Obispo Family Healthcare A Medical Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2011-01-03.