Organization
CENTRAL COAST FUNCTIONAL RESTORATION PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA G MONTES (OFFICE MANAGER)
(831) 464-7246
Entity
Organization
Contact information
Practice address
1260 41ST AVE STE D, CAPITOLA, CA 95010-3929
(831) 464-7246
(831) 464-7744
Mailing address
1260 41ST AVE STE D, CAPITOLA, CA 95010-3929
(831) 464-7246
(831) 464-7744
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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