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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PISMO FAMILY PRACTICE MEDICAL CORPORATION A CA PROF MEDICAL CORP

Active Organization

PISMO FAMILY PRACTICE MEDICAL CORPORATION A CA PROF MEDICAL CORP is a Family Medicine organization located in PISMO BEACH, California. NPI 1497746473 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PISMO BEACH, CA

Registration Details

NPI Number
1497746473
Provider Type
Organization
NPI Issued
Oct 31, 2005 (20.604444765278 yrs)
Last Updated
Jan 25, 2016
License
20A0436 (CA)

Practice Information

Address
575 PRICE ST
SUITE 101
PISMO BEACH, CA, 934492553
Browse CA providers · Browse ZIP 93449
Phone
8057730707
Fax
8057732051
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in PISMO BEACH, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.