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536 Camino Mercado Arroyo Grande CA 93420-1814 | |
| (805) 540-0279 | |
| (805) 439-1070 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 536 Camino Mercado, Arroyo Grande, California |
| Authorized Official Name and Position | Nima Alipour (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8055400279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
536 Camino Mercado Arroyo Grande CA 93420-1814 Ph: (805) 540-0279 | 536 Camino Mercado Arroyo Grande CA 93420-1814 Ph: (805) 540-0279 |
| NPI Number | 1699112698 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 08/23/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699112698 | NPI | - | NPPES |
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