# MARY K. OATES, M.D. INC

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

## Provider details

- **NPI number:** 1386652659
- **Authorized official:** DR. MARY KOSKO OATES M.D. (OWNER)
- **Authorized official phone:** (805) 922-4224

## Contact information

- **Practice address:** 116 S PALISADE DR, STE. \#200, SANTA MARIA, CA 93454-8904
- **Practice address phone:** (805) 922-4224
- **Practice address fax:** (805) 922-6101
- **Mailing address:** 116 S PALISADE DR, STE. \#200, SANTA MARIA, CA 93454-8904
- **Mailing address phone:** (805) 922-4224
- **Mailing address fax:** (805) 922-6101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | GO72476 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | GO72477 | CA | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 02/19/2008