| Cmg Medical Group Inc | |
|
5920 West Mall Atascadero CA 93422-4232 | |
| (805) 466-0676 | |
| (805) 466-8276 |
| Full Name | Cmg Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5920 West Mall, Atascadero, California |
| Authorized Official Name and Position | Steven B Goodman (PRESIDENT) |
| Authorized Official Contact | 8055434043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Medical Group Inc 1555 Higuera St San Luis Obispo CA 93401-2917 Ph: (805) 543-4043 | Cmg Medical Group Inc 5920 West Mall Atascadero CA 93422-4232 Ph: (805) 466-0676 |
| NPI Number | 1134299357 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134299357 | NPI | - | NPPES |
| GR0069890 | Medicaid | CA | |
| ZZZ54100Z | Other | CA | BLUE SHIELD OF CA |
| 183948201 | Other | USDOL PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1935201 (California) | Primary |
San Luis Obispo County Drug And Alcohol Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 Del Rio Rd, Room 4, Principal Ofc, Counseling Ofc, Atascadero, CA 93422 Phone: 805-781-4753 Fax: 805-781-1227 | |
Community Health Centers Atascadero Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7512 Morro Rd, Atascadero, CA 93422 Phone: 805-792-1400 Fax: 805-792-1485 | |
Trinity Healthcare Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Capistrano Ave, Suite D, Atascadero, CA 93422 Phone: 805-446-5600 Fax: 805-446-5601 | |
Nationwide Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 Morro Rd Ste D, Atascadero, CA 93422 Phone: 805-461-5212 Fax: 805-461-5873 | |
County Of San Luis Obispo Drug And Alcohol Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3556 El Camino Real, Atascadero, CA 93422 Phone: 805-461-6080 Fax: 805-461-6114 | |
Commhlthcntrs,women's Health Atascadero Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 El Camino Real, Atascadero, CA 93422 Phone: 805-466-9001 |