| Med Plus Central Coast | |
|
2271 S Depot St Santa Maria CA 93455-1216 | |
| (805) 922-0561 | |
| (805) 922-0083 |
| Full Name | Med Plus Central Coast |
|---|---|
| Speciality | Clinic/Center |
| Location | 2271 S Depot St, Santa Maria, California |
| Authorized Official Name and Position | Matthew Richardson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8057393108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Plus Central Coast 117 W Bunny Ave Santa Maria CA 93458-2805 Ph: (805) 739-3474 | Med Plus Central Coast 2271 S Depot St Santa Maria CA 93455-1216 Ph: (805) 922-0561 |
| NPI Number | 1023523990 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 05/15/2019 |
| Medicare PECOS PAC ID | 9739091364 |
|---|---|
| Medicare Enrollment ID | O20190416000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023523990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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