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1510 E Main St Suite 104-c Santa Maria CA 93454-4825 | |
| (805) 349-8514 | |
| (805) 614-0223 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1510 E Main St, Santa Maria, California |
| Authorized Official Name and Position | Matthew Richardson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8057393108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
117 W Bunny Ave Santa Maria CA 93458-2805 Ph: (805) 349-8514 | 1510 E Main St Suite 104-c Santa Maria CA 93454-4825 Ph: (805) 349-8514 |
| NPI Number | 1225307317 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225307317 | NPI | - | NPPES |
| ZZZ06481Z | Other | BSCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |