Central Coast Pediatrics Inc

LBN: Central Coast Pediatrics Inc
Central Coast Pediatrics Inc is an health care organization with primary practice located at 1235 Osos St Suite 100, San Luis Obispo CA 93401-3600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Central Coast Pediatrics Inc can be contacted via phone (805) 549-0888, or through Macias, Richard J via phone (805) 549-0888.

Contact Information

Primary practice address
1235 Osos St Suite 100 San Luis Obispo CA 93401-3600
Phone: (805) 549-0888
Fax: (805) 549-8463
Website:
Map and Directions
Authorized official contact:
Name: Macias, Richard J Doctor of Medicine (MD)
Phone: (805) 549-0888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1770517724
LBN Legal business name Central Coast Pediatrics Inc
DBA Doing business as
Authorized official Macias, Richard J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated May 5th, 2022 - about 4 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 1770517724 NPPES
California MEDICAID GR0059300

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