San Luis Primary Care Medical Group, Inc. in San Luis Obispo - Family Medicine
San Luis Primary Care Medical Group, Inc. - NPI 1831168772
San Luis Primary Care Medical Group, Inc. is a Family Medicine in San Luis Obispo, California. San Luis Primary Care Medical Group, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for San Luis Primary Care Medical Group, Inc. is 1831168772. The last update date is 2008-03-13.
San Luis Primary Care Medical Group, Inc.'s current location address is 1941 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8055460780 and fax number 8055460332. The mailing address for San Luis Primary Care Medical Group, Inc. is 1941 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | San Luis Primary Care Medical Group, Inc. |
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Address | 1941 Johnson Ave, San Luis Obispo, California |
Phone Number | 8055460780 |
Fax Number | 8055460332 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Leece W. David |
Credentials | M.D. |
Telephone Number | 8055460780 |
NPI Number Detail
NPI Number | 1831168772 |
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Provider Enumeration Date | 2006-03-14 |
Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
Address | 1941 Johnson Ave |
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City | San Luis Obispo |
State | California (CA) |
Post Code | 934014140 |
Phone Number | 8055460780 |
Fax Number | 8055460332 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | C2321370 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ZZZ00890Z | CA | BLUE SHIELD OF CALIFORNIA |
Post Comment/ Review Below
What is the San Luis Primary Care Medical Group, Inc.'s unique identification number?
The San Luis Primary Care Medical Group, Inc. has been assigned the NPI (National Provider Identifier) Number 1831168772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the San Luis Primary Care Medical Group, Inc. located?
The San Luis Primary Care Medical Group, Inc. is located at 1941 Johnson Ave, San Luis Obispo, CA 934014140.
What is the San Luis Primary Care Medical Group, Inc.'s area of specialization and corresponding taxonomy classification?
The San Luis Primary Care Medical Group, Inc.'s specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did San Luis Primary Care Medical Group, Inc. receive its 1831168772 assignment?
The San Luis Primary Care Medical Group, Inc. was assigned its 1831168772 on 2006-03-14, which is the date when this unique identifier was issued to the organization.
When was the information related to San Luis Primary Care Medical Group, Inc. most recently updated or refreshed?
The details pertaining to the San Luis Primary Care Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-13.