| Primary Care At Sierra Vista | |
|
77 Casa St Suite 108 San Luis Obispo CA 93405-5803 | |
| (805) 541-6225 | |
| Not Available |
| Full Name | Primary Care At Sierra Vista |
|---|---|
| Speciality | Internal Medicine |
| Location | 77 Casa St, San Luis Obispo, California |
| Authorized Official Name and Position | Jim Agronick (CEO) |
| Authorized Official Contact | 7143859094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care At Sierra Vista 1400 S Douglass Rd Anaheim CA 92806-6904 Ph: () - | Primary Care At Sierra Vista 77 Casa St Suite 108 San Luis Obispo CA 93405-5803 Ph: (805) 541-6225 |
| NPI Number | 1043641103 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 11/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043641103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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