DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES

MEDICARE: CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianG42368CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ25994ZOTHERCABLUE SHIELD PIN
34306521OTHERCAAETNA PIN

General Provider Information

NPI Number : 1558461418
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 13211
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93406-3211
Country : US
Telephone Number : 805-545-5665
Fax Number : 805-544-6477
Provider Business Practice Location Address
First Line : 1035 PEACH ST
Second Line : SUITE 301
City : SAN LUIS OBISPO
State : CA
Zip : 93401-2700
Country : US
Telephone Number : 805-545-5665
Fax Number : 805-544-6477
Authorized Official
Title or Position : OWNER
Name : DR. WILLIAM J. WATSON
Credential : M.D.
Telephone Number : 805-545-5665
Provider Enumeration Date : 09/22/2006
Last Update Date : 11/28/2007

Similar Medicare Providers

1023007507 — DR. WILLIAM J. WATSON M.D.
Practice Location Address:
1035 PEACH ST , SUITE 301
SAN LUIS OBISPO, CA
93401-2700
Practice Phone: 805-545-5665
Practice Fax: 805-544-6477
1093781189 — BHAVANI INC
Practice Location Address:
1035 PEACH STREET , SUITE 301
SAN LUIS OBISPO, CA
93401-2700
Practice Phone: 805-542-0900
Practice Fax: 805-543-9580
1902979636 — DR. KE-PING TSAO M.D.
Practice Location Address:
1035 PEACH ST STE 303
SAN LUIS OBISPO, CA
93401-2700
Practice Phone: 805-543-9377
Practice Fax: 805-543-1820
1750536124 — SEVEN SISTERS OBSTETRICS AND GYNECOLOGY, INC
Practice Location Address:
1035 PEACH ST , SUITE 301
SAN LUIS OBISPO, CA
93401-2700
Practice Phone: 805-543-1475
Practice Fax: 805-543-1463
1093017121 — KE-PING TSAO, MD
Practice Location Address:
1035 PEACH ST , SUITE 303
SAN LUIS OBISPO, CA
93401-2700
Practice Phone: 805-543-9377
Practice Fax: 805-543-1820
1790199479 — CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
Practice Location Address:
1035 PEACH ST , SUITE 204
SAN LUIS OBISPO, CA
93401-2700
Practice Phone: 805-544-7511
Practice Fax: 805-544-7560

Directions to “CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.