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General NPI Number Information
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NPI Number | 1326013657
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Entity Type | Organization
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Legal Business Name | SIGMUND PHYSICIAN SERVICE, INC.
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 416 SPRING ST SUITE 100
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City | PASO ROBLES
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State | CA
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Zip | 93446-3161
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Country | US
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Telephone | 805-239-1555
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Fax | 805-239-1444
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Provider Business Mailing Address
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Address Line | 3000 BROAD ST SUITE 209A
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6786
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Country | US
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Telephone | 805-547-1255
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Fax | 805-547-1395
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN T. SIGMUND
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Credential | M.D.
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Telephone | 805-239-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2818999
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License Number State | CA
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