# ADVANCED OBGYN

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

## Provider details

- **NPI number:** 1699479808
- **Authorized official:** CAROL C SPALDING (PRACTICE ADMIN)
- **Authorized official phone:** (805) 773-3060

## Contact information

- **Practice address:** 5750 TRAFFIC WAY, ATASCADERO, CA 93422-4252
- **Practice address phone:** (805) 461-3010
- **Practice address fax:** (805) 461-3020
- **Mailing address:** 2 JAMES WAY STE 106, PISMO BEACH, CA 93449-4974
- **Mailing address phone:** (805) 773-3060
- **Mailing address fax:** (805) 269-0026

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 03/30/2023