Healthcare Provider Details

I. General information

NPI: 1265971758
Provider Name (Legal Business Name): DR. EMILY PIRMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY FETTE D.O.

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 CASA ST
SAN LUIS OBISPO CA
93405-5803
US

IV. Provider business mailing address

2050 S BLOSSER RD
SANTA MARIA CA
93458-7310
US

V. Phone/Fax

Practice location:
  • Phone: 805-269-1500
  • Fax: 805-269-1585
Mailing address:
  • Phone: 805-361-8017
  • Fax: 805-361-8097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A25526
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: