# AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST

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

## Provider details

- **NPI number:** 1902269483
- **Authorized official:** WENDY ANTONIO (BOOKKEEPER)
- **Authorized official phone:** (805) 710-7308

## Contact information

- **Practice address:** 3701 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-7462
- **Practice address phone:** (805) 710-7308
- **Mailing address:** PO BOX 5007, SAN LUIS OBISPO, CA 93403-5007
- **Mailing address phone:** (805) 710-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2016
- **Last updated:** 06/20/2024