Individual
TOMAS MANUEL MACHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 E HICKORY STREET, LOMPOC DISTRICT HOSPITAL, LOMPOC, CA 93438-1058
(805) 737-5718
(805) 735-4027
Mailing address
PO BOX 3857, SAN LUIS OBISPO, CA 93403-3857
(800) 472-9116
(805) 439-0324
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A402330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A402330
—
CA
01
—
1356409379
GROUP NPI
CA
01
—
220018774
RAILROAD MEDICARE
CA
01
—
A402330
MEDICAL BOARD OF CA
CA
05
—
GR0016631
—
CA
01
—
ZZZ42967Z
BLUE SHIELD
CA
Enumeration date
11/27/2006
Last updated
05/16/2013
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