| Ken Starr Md Wellness Group | |
|
107 Nelson St Arroyo Grande CA 93420-3318 | |
| (626) 797-9977 | |
| (626) 844-2977 |
| Full Name | Ken Starr Md Wellness Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 107 Nelson St, Arroyo Grande, California |
| Authorized Official Name and Position | Ken Starr (OWNER) |
| Authorized Official Contact | 6267979977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Starr Md Wellness Group 107 Nelson St Arroyo Grande CA 93420 Ph: (626) 797-9977 | Ken Starr Md Wellness Group 107 Nelson St Arroyo Grande CA 93420-3318 Ph: (626) 797-9977 |
| NPI Number | 1598195810 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 07/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598195810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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