# RESTORATIVE MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restorative Spine & Joint
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053872713
- **Authorized official:** DR. MATTHEW EGBERT (CEO)
- **Authorized official phone:** (805) 614-7820

## Contact information

- **Practice address:** 3596 SKYWAY DR STE B, SANTA MARIA, CA 93455-2514
- **Practice address phone:** (805) 614-7820
- **Mailing address:** 3596 SKYWAY DR STE B, SANTA MARIA, CA 93455-2514
- **Mailing address phone:** (805) 614-7820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2019
- **Last updated:** 09/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1205806874 | NPI | CA |