Organization
CENTRAL COAST RHEUMATOLOGY MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA PATEL M.D. (PRESIDENT)
(805) 316-0698
Entity
Organization
Contact information
Practice address
1655 DALIDIO DR UNIT 3151, SAN LUIS OBISPO, CA 93403-7007
(805) 316-0698
Mailing address
1655 DALIDIO DR UNIT 3151, SAN LUIS OBISPO, CA 93403-7007
(805) 316-0698
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
02/26/2025
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