# NICK L. GUNASAYAN, D.P.M., INC

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

## Provider details

- **NPI number:** 1871768150
- **Authorized official:** NICK L GUNASAYAN D.P.M. (PODIATRIST)
- **Authorized official phone:** (805) 540-5770

## Contact information

- **Practice address:** 862 MEINECKE AVE, STE \#204, SAN LUIS OBISPO, CA 93405-1721
- **Practice address phone:** (805) 540-5770
- **Practice address fax:** (888) 851-4755
- **Mailing address:** 1310 LAS TABLAS RD, 205, TEMPLETON, CA 93465-9737
- **Mailing address phone:** (805) 540-5770
- **Mailing address fax:** (888) 851-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5797150001 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E4414 | CA | — |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 06/02/2014