Organization
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC
Active
Other names
Central Coast Family Care Medical Associates of Santa Maria, Inc, Central Coast Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA J THEIS MD (PRESIDENT)
(805) 349-1227
Entity
Organization
Contact information
Practice address
220 S PALISADE DR STE 104B, SANTA MARIA, CA 93454-5931
(805) 925-2521
Mailing address
220 S PALISADE DR, SUITE 131, SANTA MARIA, CA 93454-8902
(805) 925-2521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
02/20/2020
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