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Organization
LAS TABLAS MEDICAL GROUP,INC
Active
Organization
LAS TABLAS MEDICAL GROUP,INC
Active
Other names
Las Tablas Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA J SMITH (OFFICE MANAGER)
(805) 434-2900
Entity
Organization
Contact information
Practice address
2120 GOLDEN HILL RD, SUITE 102, PASO ROBLES, CA 93446-7047
(805) 434-2900
(805) 434-2928
Mailing address
2120 GOLDEN HILL RD, SUITE 102, PASO ROBLES, CA 93446-7047
(805) 434-2900
(805) 434-2928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20497
PTAN
CA
Enumeration date
12/05/2006
Last updated
06/24/2026
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