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

CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC

Active Organization

CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC is a Clinical Neurophysiology organization located in SAN LUIS OBISPO, California. NPI 1790199479 is currently active in the NPPES registry. Verify at CMS.

Clinical Neurophysiology · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1790199479
Provider Type
Organization
NPI Issued
Jun 20, 2014 (12.190047499693 yrs)
Last Updated
Jun 20, 2014
License
G04937 (CA)

Practice Information

Address
1035 PEACH ST
SUITE 204
SAN LUIS OBISPO, CA, 934012700
Browse CA providers · Browse ZIP 93401
Phone
8055447511
Fax
8055447560
Primary Specialty
Clinical Neurophysiology
2084N0600X
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.