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Organization

CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY S. GENEVIEVE M.D. (PRESIDENT)
(415) 379-6100
Entity
Organization

Contact information

Practice address
2250 HAYES ST STE 206, SAN FRANCISCO, CA 94117-1078
(415) 379-6100
Mailing address
2250 HAYES ST STE 206, SAN FRANCISCO, CA 94117-1078
(415) 379-6100

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2153903
CA

Other

Enumeration date
07/03/2006
Last updated
10/17/2025
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