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Organization
PACIFIC COAST PHYSICIANS MEDICAL GROUP
Active
Organization
PACIFIC COAST PHYSICIANS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID O. JAVITZ M.D. (PRESIDENT)
(805) 541-1177
Entity
Organization
Contact information
Practice address
689 TANK FARM RD, SUITE 220, SAN LUIS OBISPO, CA 93401-7077
(805) 541-1177
(805) 541-4236
Mailing address
689 TANK FARM RD, SUITE 220, SAN LUIS OBISPO, CA 93401-7077
(805) 541-1177
(805) 541-4236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CA
Other
Enumeration date
12/26/2006
Last updated
02/12/2010
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