San Luis Internal Medicine Associates, A Medical Corporation in San Luis Obispo - Internal Medicine
San Luis Internal Medicine Associates, A Medical Corporation - NPI 1861475154
San Luis Internal Medicine Associates, A Medical Corporation is a Internal Medicine in San Luis Obispo, California. San Luis Internal Medicine Associates, A Medical Corporation practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for San Luis Internal Medicine Associates, A Medical Corporation is 1861475154. The last update date is 2023-10-30.
San Luis Internal Medicine Associates, A Medical Corporation's current location address is 4251 S Higuera St Ste 701, San Luis Obispo, California. You can contact this provider via phone number 8054391381 and fax number 8054390138. The mailing address for San Luis Internal Medicine Associates, A Medical Corporation is 4251 S Higuera St Ste 701, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | San Luis Internal Medicine Associates, A Medical Corporation |
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Address | 4251 S Higuera St Ste 701, San Luis Obispo, California |
Phone Number | 8054391381 |
Fax Number | 8054390138 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Cherry A Deborah |
Credentials | MD |
Telephone Number | 8054391381 |
NPI Number Detail
NPI Number | 1861475154 |
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Provider Enumeration Date | 2005-11-21 |
Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
Address | 4251 S Higuera St Ste 701 |
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City | San Luis Obispo |
State | California (CA) |
Post Code | 934017742 |
Phone Number | 8054391381 |
Fax Number | 8054390138 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 2371545 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
05D0996840 | CA | CLIA | |
ZZZ03051Z | CA | BLUE SHIELD OF CA GRP# |
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What is the unique identifier code issued to San Luis Internal Medicine Associates, A Medical Corporation by the Centers for Medicare & Medicaid Services?
The San Luis Internal Medicine Associates, A Medical Corporation has been assigned the NPI (National Provider Identifier) 1861475154. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of San Luis Internal Medicine Associates, A Medical Corporation?
The San Luis Internal Medicine Associates, A Medical Corporation is physically situated at 4251 S Higuera St Ste 701, in the city of San Luis Obispo, state of CA, with the postal code 934017742.
What is San Luis Internal Medicine Associates, A Medical Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The San Luis Internal Medicine Associates, A Medical Corporation's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the San Luis Internal Medicine Associates, A Medical Corporation receive the assignment of its 1861475154 from the Centers for Medicare & Medicaid Services?
The San Luis Internal Medicine Associates, A Medical Corporation was issued its 1861475154 by the Centers for Medicare & Medicaid Services on 2005-11-21.
When was the information regarding San Luis Internal Medicine Associates, A Medical Corporation most recently updated?
The details pertaining to the San Luis Internal Medicine Associates, A Medical Corporation, including its address, specialty, and other relevant information, were last refreshed on 2023-10-30.
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