San Luis Hospitalists A Medical Corporation
Hospitalist in San Luis Obispo, CA. Organization (NPI-2).
NPI number1760637896
StatusActive
Last updated in NPPESNov 9, 2022
Details
- NPI
- 1760637896
- Entity type
- Organization (NPI-2)
- Legal business name
- San Luis Hospitalists A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Nov 17, 2008
- Certification date
- Nov 9, 2022
- Last updated
- Nov 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | CA | Yes |
Practice location
1911 Johnson AveSan Luis Obispo, CA 93401-4197
Phone 805-543-5353 · Fax 805-542-6661
Mailing address
Po Box 1464San Luis Obispo, CA 93406-1464
Authorized official
Patricia Keller
Administrator
8055038422
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