| Fcpp-central Coast Family Health-slo | |
|
35 Casa St Suite 320 San Luis Obispo CA 93405-1818 | |
| (805) 250-4844 | |
| Not Available |
| Full Name | Fcpp-central Coast Family Health-slo |
|---|---|
| Speciality | Family Medicine |
| Location | 35 Casa St, San Luis Obispo, California |
| Authorized Official Name and Position | Jeff Koury (CEO) |
| Authorized Official Contact | 7144286482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcpp-central Coast Family Health-slo Po Box 748263 Los Angeles CA 90074-8263 Ph: (805) 250-4844 | Fcpp-central Coast Family Health-slo 35 Casa St Suite 320 San Luis Obispo CA 93405-1818 Ph: (805) 250-4844 |
| NPI Number | 1063820728 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063820728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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