Pismo Family Practice
LBN: Pismo Family Practice Medical Corporation A Ca Prof Medical Corp
Pismo Family Practice is an health care organization with primary practice located at 575 Price St Suite 101, Pismo Beach CA 93449-2553. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Pismo Family Practice Medical Corporation A Ca Prof Medical Corp can be contacted via phone (805) 773-0707, or through Weiss, Wendy Eve via phone (805) 773-0707.
Contact Information
Primary practice address
575 Price St Suite 101
Pismo Beach CA 93449-2553
Phone: (805) 773-0707
Fax: (805) 773-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A0436 | California |
Profile Details
| NPI number | 1497746473 |
|---|---|
| LBN Legal business name | Pismo Family Practice Medical Corporation A Ca Prof Medical Corp |
| DBA Doing business as | Pismo Family Practice |
| Authorized official | Weiss, Wendy Eve Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jan 25th, 2016 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497746473 | NPPES |
| California | Other | C1962153 | STATE CORPORATION NUMBER |
| California | Other | ZZZ48888Z | STATE CORPORATION NUMBER |
| California | MEDICAID | GR0080750 | STATE CORPORATION NUMBER |
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