Organization
CENTRAL COAST INTERNAL MEDICINE PC
Active
Other names
Central Coast Premiere Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DANIEL ORTIZ MD (PRESIDENT CEO)
(805) 703-0024
Entity
Organization
Contact information
Practice address
920 W HOLLOW DR, PASO ROBLES, CA 93446
(805) 703-0024
(888) 275-1229
Mailing address
13668 LAKESHORE DR, GRAND HAVEN, MI 49417-9443
(805) 703-0024
(888) 275-1229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A87187
CA
Other
Enumeration date
04/30/2008
Last updated
04/20/2009
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