# CENTRAL COAST HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1689938086
- **Authorized official:** MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
- **Authorized official phone:** (469) 893-2153

## Contact information

- **Practice address:** 9700 EL CAMINO REAL, SUITE 100, ATASCADERO, CA 93422-5569
- **Practice address phone:** (805) 461-9000
- **Practice address fax:** (805) 461-9001
- **Mailing address:** 9700 EL CAMINO REAL, SUITE 100, ATASCADERO, CA 93422-5569
- **Mailing address phone:** (805) 461-9000
- **Mailing address fax:** (805) 461-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2012
- **Last updated:** 05/26/2016