# ADVANCED HORMONE REPLACEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Hormone Replacement
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508546003
- **Authorized official:** NEIL J CORREIA MD (PRESIDENT)
- **Authorized official phone:** (805) 540-1306

## Contact information

- **Practice address:** 562 CAMINO MERCADO, ARROYO GRANDE, CA 93420-1815
- **Practice address phone:** (805) 410-8971
- **Mailing address:** 122 PEARWOOD AVE, ARROYO GRANDE, CA 93420-2910
- **Mailing address phone:** (805) 540-1306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/25/2023