| NPI | 1538618590 |
|---|---|
| Doing Business As | PISMO BEACH PEDIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW RICHARDSON Chief Financial Officer 805-739-3108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2021-09-10 |