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4251 S Higuera St Suite 401 San Luis Obispo CA 93401-7700 | |
| (805) 540-6010 | |
| (805) 540-6011 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 4251 S Higuera St, San Luis Obispo, California |
| Authorized Official Name and Position | Atsuko E. Rees (OWNER) |
| Authorized Official Contact | 8055406010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4251 S Higuera St Suite 401 San Luis Obispo CA 93401-7700 Ph: (805) 540-6010 | 4251 S Higuera St Suite 401 San Luis Obispo CA 93401-7700 Ph: (805) 540-6010 |
| NPI Number | 1205196052 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205196052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C41745 (California) | Primary |
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