# PHILNLN, INC.

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

## Provider details

- **NPI number:** 1932656337
- **Authorized official:** DR. PHILIP JOSEPH CITEK MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (805) 909-0612

## Contact information

- **Practice address:** 7619 MORRO RD, ATASCADERO, CA 93422-4433
- **Practice address phone:** (805) 461-9192
- **Practice address fax:** (805) 461-5802
- **Mailing address:** 10 SANTA ROSA ST, STE 201, SAN LUIS OBISPO, CA 93405-5825
- **Mailing address phone:** (805) 786-4878
- **Mailing address fax:** (805) 597-8356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A44775 | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A47889 | CA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | A47889 | CA | — |

## Other

- **Enumeration date:** 09/02/2016
- **Last updated:** 09/02/2016