Individual
DR. AMY E. WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 OAK PARK BLVD, SUITE 107, PISMO BEACH, CA 93449-3405
(805) 474-8700
(805) 474-8466
Mailing address
911 OAK PARK BLVD, SUITE 107, PISMO BEACH, CA 93449-3405
(805) 474-8700
(805) 474-8466
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A64739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A647390
—
CA
01
—
00A7647390
BLUE SHIELD OF CA PIN
CA
01
—
5622418
CCN/FIRST HEALTH PIN
—
01
—
7598095
AETNA
—
Enumeration date
06/13/2005
Last updated
06/19/2012
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