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Organization
SEVEN PEAKS MEDICAL GROUP, INC.
Active
Organization
SEVEN PEAKS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUNA M LYNCH D.O. (MEDICAL DIRECTOR)
(805) 548-8877
Entity
Organization
Contact information
Practice address
3889 LONG ST STE 201, SAN LUIS OBISPO, CA 93401-7581
(805) 548-8877
Mailing address
3889 LONG ST STE 201, SAN LUIS OBISPO, CA 93401-7581
(805) 548-8877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A11056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A11056
MEDICAL LICENSE
CA
Enumeration date
07/31/2008
Last updated
04/09/2014
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