# DIAGNOSTIC PATHOLOGY SERVICES OF THE CENTRAL COAST

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

## Provider details

- **NPI number:** 1942549068
- **Authorized official:** KEVIN FERGUSON MD (PRESIDENT)
- **Authorized official phone:** (805) 548-1550

## Contact information

- **Practice address:** 1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
- **Practice address phone:** (805) 541-6033
- **Mailing address:** PO BOX 5158, SAN LUIS OBISPO, CA 93403-5158
- **Mailing address phone:** (805) 548-1550
- **Mailing address fax:** (805) 548-1876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D0587424 | CA | Yes |

## Other

- **Enumeration date:** 02/08/2013
- **Last updated:** 09/07/2023