# CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Coast Family Care Medical Associates of Santa Maria, Inc, Central Coast Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881882611
- **Authorized official:** LAURA J THEIS MD (PRESIDENT)
- **Authorized official phone:** (805) 349-1227

## Contact information

- **Practice address:** 355 DANIEL DR STE 105, SANTA MARIA, CA 93454-8840
- **Practice address phone:** (805) 937-3368
- **Mailing address:** 1105 E FOSTER RD, SUITE G, SANTA MARIA, CA 93455-6437
- **Mailing address phone:** (805) 937-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 02/20/2020