| Seven Peaks Medical Group, Inc. | |
|
3889 Long St Ste 201 San Luis Obispo CA 93401-7581 | |
| (805) 548-8877 | |
| Not Available |
| Full Name | Seven Peaks Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3889 Long St Ste 201, San Luis Obispo, California |
| Authorized Official Name and Position | Shauna M Lynch (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8055488877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Peaks Medical Group, Inc. 3889 Long St Ste 201 San Luis Obispo CA 93401-7581 Ph: (805) 548-8877 | Seven Peaks Medical Group, Inc. 3889 Long St Ste 201 San Luis Obispo CA 93401-7581 Ph: (805) 548-8877 |
| NPI Number | 1750547550 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750547550 | NPI | - | NPPES |
| 20A11056 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A11056 (California) | Primary |
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