# CENTRAL COAST OBSTETRICS AND GYNECOLOGY, INC., A MEDICAL GROUP

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

## Provider details

- **NPI number:** 1376556217
- **Authorized official:** MRS. LESLIE FURUKAWA (BILLING OFFICE MANAGER)
- **Authorized official phone:** (805) 548-0775

## Contact information

- **Practice address:** 100 CASA ST, SUITE B, SAN LUIS OBISPO, CA 93405-1883
- **Practice address phone:** (805) 544-8811
- **Practice address fax:** (805) 548-0777
- **Mailing address:** 100 CASA ST, SUITE B, SAN LUIS OBISPO, CA 93405-1883
- **Mailing address phone:** (805) 544-8811
- **Mailing address fax:** (805) 548-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 04/16/2014