| NPI | 1063820728 |
|---|---|
| Doing Business As | FCPP-CENTRAL COAST FAMILY HEALTH-SLO |
| Entity Type | Organization |
| Authorized Contact | JEFF KOURY CEO 714-428-6482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2016-06-06 |