# CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235129255
- **Authorized official:** DR. ANDREW G. MONROY M.D. (DIRECTOR)
- **Authorized official phone:** (805) 473-3705

## Contact information

- **Practice address:** 310 S HALCYON RD, SUITE 106, ARROYO GRANDE, CA 93420-3872
- **Practice address phone:** (805) 473-3705
- **Practice address fax:** (805) 473-4832
- **Mailing address:** PO BOX 160, ARROYO GRANDE, CA 93421-0160
- **Mailing address phone:** (805) 473-3705
- **Mailing address fax:** (805) 473-4832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2709131 | CA | Yes |

## Other

- **Enumeration date:** 10/21/2005
- **Last updated:** 03/04/2008