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Organization
RESTORATIVE MEDICAL PC
Active
Organization
RESTORATIVE MEDICAL PC
Active
Other names
Restorative Spine & Joint
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EGBERT (CEO)
(805) 614-7820
Entity
Organization
Contact information
Practice address
3596 SKYWAY DR STE B, SANTA MARIA, CA 93455-2514
(805) 614-7820
Mailing address
3596 SKYWAY DR STE B, SANTA MARIA, CA 93455-2514
(805) 614-7820
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205806874
NPI
CA
Enumeration date
03/26/2019
Last updated
09/12/2023
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