# SEVEN PEAKS MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1427495258
- **Authorized official:** YELENA LAPIDUS MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 548-8877

## Contact information

- **Practice address:** 3889 LONG ST STE 201, SAN LUIS OBISPO, CA 93401-7581
- **Practice address phone:** (805) 548-8877
- **Practice address fax:** (805) 548-8876
- **Mailing address:** 3889 LONG ST STE 201, SAN LUIS OBISPO, CA 93401-7581
- **Mailing address phone:** (805) 548-8877
- **Mailing address fax:** (805) 548-8876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013