CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC

SAN LUIS OBISPO, CA
NPI1790199479
Entity TypeOrganization
Authorized ContactMARY S AMIR
President
805-544-7511
Organization Subpart ?No
Primary Taxonomy2084N0600X 
(Licence: CA  G04937)
Enumeration Date2014-06-20
Last Update Date2014-06-20
Business Address
CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
1035 PEACH ST SUITE 204
SAN LUIS OBISPO, CA 93401-2700
Phone number: 805-544-7511
Mailing Address
CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
1035 PEACH ST SUITE 204
SAN LUIS OBISPO, CA 93401-2700
Phone number: 805-544-7511
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