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1353 Shell Beach Rd Pismo Beach CA 93449-1954 | |
| (805) 556-3200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1353 Shell Beach Rd, Pismo Beach, California |
| Authorized Official Name and Position | Steven C Posson (OWNER/PRESIDENT) |
| Authorized Official Contact | 8055563200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1353 Shell Beach Rd Pismo Beach CA 93449-1954 Ph: (805) 556-3200 | 1353 Shell Beach Rd Pismo Beach CA 93449-1954 Ph: (805) 556-3200 |
| NPI Number | 1659554582 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659554582 | NPI | - | NPPES |
| 20-A6674 | Other | CA | CA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A-6674 (California) | Primary |
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