Organization
INDUSTRIAL MEDICAL GROUP OF SANTA MARIA VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON BOUGHEY M.D. (MEDICAL DIRECTOR)
(805) 922-8282
Entity
Organization
Contact information
Practice address
3070 SKYWAY DR STE 106, SANTA MARIA, CA 93455-1830
(805) 922-8282
(805) 925-2690
Mailing address
3070 SKYWAY DR STE 106, SANTA MARIA, CA 93455-1830
(805) 922-8282
(805) 925-2690
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
G50357
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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