<Unavail>

LBN: Central Coast Otolaryngology
<Unavail> is an health care organization with primary practice located at 116 S Palisade Dr Suite 206, Santa Maria CA 93454-8904. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Central Coast Otolaryngology can be contacted via phone (805) 614-9250, or through Wikholm, Elizabeth via phone (805) 614-9250.

Contact Information

Primary practice address
116 S Palisade Dr Suite 206 Santa Maria CA 93454-8904
Phone: (805) 614-9250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wikholm, Elizabeth
Phone: (805) 614-9250

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X

Profile Details

NPI number 1427382811
LBN Legal business name Central Coast Otolaryngology
DBA Doing business as <Unavail>
Authorized official Wikholm, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2009
Last updated Nov 29th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427382811 NPPES
California Other CL711A MEDICARE PTAN

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