# CENTRAL COAST PATHOLOGY CONSULTANTS, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871743435
- **Authorized official:** MR. RONALD EDWARD ROCHA M.D. (PRESIDENT)
- **Authorized official phone:** (805) 549-7461

## Contact information

- **Practice address:** 3701 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-7462
- **Practice address phone:** (805) 549-7461
- **Practice address fax:** (805) 549-7463
- **Mailing address:** 3701 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-7462
- **Mailing address phone:** (805) 549-7461
- **Mailing address fax:** (805) 549-7463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D0643503 | CA | Yes |

## Other

- **Enumeration date:** 09/19/2008
- **Last updated:** 09/25/2008