| Charles L. Fulbeck, M.d. | |
|
1551 Bishop St Suite 420 San Luis Obispo CA 93401-4635 | |
| (805) 549-9533 | |
| (805) 549-8001 |
| Full Name | Charles L. Fulbeck, M.d. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1551 Bishop St, San Luis Obispo, California |
| Authorized Official Name and Position | Charles L. Fulbeck (PHYSICIAN) |
| Authorized Official Contact | 8055499533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L. Fulbeck, M.d. Po Box 25665 Salt Lake City UT 84125-0665 Ph: (805) 549-9533 | Charles L. Fulbeck, M.d. 1551 Bishop St Suite 420 San Luis Obispo CA 93401-4635 Ph: (805) 549-9533 |
| NPI Number | 1558443440 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558443440 | NPI | - | NPPES |
| 00G501430 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G50143 (California) | Primary |
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