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Organization
CENTRAL COAST ORTHOPEDIC MEDICAL GROUP
Active
Organization
CENTRAL COAST ORTHOPEDIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LOPEZ (PRACTICE MANAGER)
(805) 541-4600
Entity
Organization
Contact information
Practice address
2342 PROFESSIONAL PKWY STE 200, SANTA MARIA, CA 93455-1690
(805) 349-9545
(805) 349-8025
Mailing address
862 MEINECKE AVE STE 100, SAN LUIS OBISPO, CA 93405-3701
(805) 541-4600
(805) 541-8716
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/29/2026
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