Organization
CENTRAL COAST MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL SAWYER M.D. (PARTNER)
(805) 740-9400
Entity
Organization
Contact information
Practice address
119 S B ST, LOMPOC, CA 93436-6903
(805) 740-9400
(805) 741-2640
Mailing address
119 S B ST, LOMPOC, CA 93436-6903
(805) 740-9400
(805) 741-2640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G71040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750395224
NPI
CA
Enumeration date
10/11/2013
Last updated
08/01/2024
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