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Organization

PACIFIC CENTRAL COAST HEALTH CENTERS

Active
Parent organization
PACIFIC CENTRAL COAST HEALTH CENTERS
Other names
ENT & Allergy Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PACIFIC CENTRAL COAST HEALTH CENTERS
Authorized official
MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER)
(805) 739-3108
Entity
Organization

Contact information

Practice address
206 S STRATFORD AVE, SUITE B, SANTA MARIA, CA 93454-5901
(805) 474-5807
(805) 474-5808
Mailing address
117 W BUNNY AVE, SANTA MARIA, CA 93458-2805
(805) 739-3474
(805) 614-5956

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
11/17/2015
Last updated
11/12/2018
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