Organization
CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW G. MONROY M.D. (DIRECTOR)
(805) 473-3705
Entity
Organization
Contact information
Practice address
310 S HALCYON RD, SUITE 106, ARROYO GRANDE, CA 93420-3872
(805) 473-3705
(805) 473-4832
Mailing address
PO BOX 160, ARROYO GRANDE, CA 93421-0160
(805) 473-3705
(805) 473-4832
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2709131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64728Z
BLUE SHIELD GROUP PIN
CA
Enumeration date
10/21/2005
Last updated
03/04/2008
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