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Organization
WILSHIRE CONNECTED CARE
Active
Organization
WILSHIRE CONNECTED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA C RITCHIE (MANAGER-CEO)
(805) 547-7025
Entity
Organization
Contact information
Practice address
277 SOUTH ST STE S, SAN LUIS OBISPO, CA 93401-5039
(800) 870-5920
(805) 329-5625
Mailing address
285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401-5037
(805) 547-7025
(805) 547-7030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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