# RAYMUND J. LLAURADO, MD, INC.

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

## Provider details

- **NPI number:** 1457539868
- **Authorized official:** DR. RAYMUND J. LLAURADO MD (PRESIDENT)
- **Authorized official phone:** (805) 922-6641

## Contact information

- **Practice address:** 220 S PALISADE DR, SUITE 102, SANTA MARIA, CA 93454-8902
- **Practice address phone:** (805) 922-6641
- **Practice address fax:** (805) 922-5927
- **Mailing address:** 880 OAK PARK BLVD, SUITE 102, ARROYO GRANDE, CA 93420-1821
- **Mailing address phone:** (805) 489-3235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | C2511936 | CA | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | C2511936 | CA | — |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 05/11/2009