# AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST

> 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:** 1942540497
- **Authorized official:** WENDY ANTONIO (BOOKKEEPER)
- **Authorized official phone:** (805) 710-7308

## Contact information

- **Practice address:** 345 S HALCYON RD, ARROYO GRANDE, CA 93420-3817
- **Practice address phone:** (805) 489-4261
- **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 | 05D0586961 | CA | Yes |

## Other

- **Enumeration date:** 02/20/2013
- **Last updated:** 06/20/2024