# INDUSTRIAL MEDICAL GROUP OF SANTA MARIA VALLEY

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

## Provider details

- **NPI number:** 1235383225
- **Authorized official:** DR. SIMON BOUGHEY M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 922-8282

## Contact information

- **Practice address:** 3070 SKYWAY DR STE 106, SANTA MARIA, CA 93455-1830
- **Practice address phone:** (805) 922-8282
- **Practice address fax:** (805) 925-2690
- **Mailing address:** 3070 SKYWAY DR STE 106, SANTA MARIA, CA 93455-1830
- **Mailing address phone:** (805) 922-8282
- **Mailing address fax:** (805) 925-2690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | G50357 | CA | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008