# OSF MEDICAL GROUP OF CALIFORNIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spine and Orthopedic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629198742
- **Authorized official:** DR. ALAN P MOELLEKEN M.D. (M.D.)
- **Authorized official phone:** (805) 563-3307

## Contact information

- **Practice address:** 401 E CARRILLO ST, SANTA BARBARA, CA 93101-1460
- **Practice address phone:** (805) 563-3307
- **Practice address fax:** (805) 563-3827
- **Mailing address:** PO BOX 3559, SAN LUIS OBISPO, CA 93403-3559
- **Mailing address phone:** (805) 786-4879
- **Mailing address fax:** (805) 597-8354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 03/27/2012