| |
810 Niblick Rd Paso Robles CA 93446-4858 | |
(805) 781-4753 | |
(805) 781-1227 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 810 Niblick Rd, Paso Robles, California |
Authorized Official Name and Position | Starlene M Graber (DIVISION MANAGER) |
Authorized Official Contact | 8057814753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2180 Johnson Ave San Luis Obispo CA 93401-4513 Ph: (805) 781-4753 | 810 Niblick Rd Paso Robles CA 93446-4858 Ph: (805) 781-4753 |
NPI Number | 1851633325 |
---|---|
Provider Enumeration Date | 03/22/2013 |
Last Update Date | 03/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851633325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Family Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 13th St, Paso Robles, CA 93446 Phone: 805-238-2665 Fax: 805-238-7422 | |
Joseph D Bettencourt Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Golden Hill Rd, Suite 202, Paso Robles, CA 93446 Phone: 805-434-2240 Fax: 805-434-0102 |