Organization
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC
Active
Other names
Central Coast Family Care Medical Associates of Santa Maria, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JEAN THEIS MD (PRESIDENT)
(805) 349-1227
Entity
Organization
Contact information
Practice address
821 E CHAPEL ST STE 103, SANTA MARIA, CA 93454-4618
(805) 925-1009
Mailing address
220 S PALISADE DR STE 104, SANTA MARIA, CA 93454-5931
(805) 925-1009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
08/20/2020
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