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 NEUROLOGY MEDICAL GROUP, INC

MEDICARE: CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
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
12084N0600XClinical Neurophysiology PhysicianG04937CA

General Provider Information

NPI Number : 1790199479
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
Provider Business Mailing Address
First Line : 1035 PEACH ST
Second Line : SUITE 204
City : SAN LUIS OBISPO
State : CA
Zip : 93401-2700
Country : US
Telephone Number : 805-544-7511
Fax Number : 805-544-7560
Provider Business Practice Location Address
First Line : 1035 PEACH ST
Second Line : SUITE 204
City : SAN LUIS OBISPO
State : CA
Zip : 93401-2700
Country : US
Telephone Number : 805-544-7511
Fax Number : 805-544-7560
Authorized Official
Title or Position : PRESIDENT
Name : MARY S AMIR
Credential : MD
Telephone Number : 805-544-7511
Provider Enumeration Date : 06/20/2014
Last Update Date : 06/20/2014

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
1558461418 — CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES
Practice Location Address:
1035 PEACH ST , SUITE 301
SAN LUIS OBISPO, CA
93401-2700
Practice Phone: 805-545-5665
Practice Fax: 805-544-6477
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

Directions to “CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.