# CENTRAL COAST OBSTETRICS AND GYNECOLOGY

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

## Provider details

- **NPI number:** 1598038242
- **Authorized official:** ROBERT THIELSCHER DDS, MBA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (805) 786-4111

## Contact information

- **Practice address:** 220 S PALISADE DR, STE 204, SANTA MARIA, CA 93454-8902
- **Practice address phone:** (805) 354-7101
- **Practice address fax:** (805) 354-7102
- **Mailing address:** 100 CASA ST, STE B, SAN LUIS OBISPO, CA 93405-1883
- **Mailing address phone:** (805) 786-4111
- **Mailing address fax:** (805) 543-6357

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2012
- **Last updated:** 02/10/2012