Healthcare Provider Details

I. General information

NPI: 1013893932
Provider Name (Legal Business Name): MARIAH CRYSTAL-LEE VOSS RHIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 CARMEN LN STE 201
SANTA MARIA CA
93458-7771
US

IV. Provider business mailing address

4214 WOODLAND ST
SANTA MARIA CA
93455-3352
US

V. Phone/Fax

Practice location:
  • Phone: 805-212-7680
  • Fax: 805-728-9492
Mailing address:
  • Phone: 805-264-2446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number274459
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: