Organization
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC
Active
Other names
Central Coast Family Care Medical Associates of Santa Maria, Inc, Central Coast Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULEEN STIMSON (ADMINISTRATOR)
(805) 925-1009
Entity
Organization
Contact information
Practice address
1505 SHEPARD DR STE 104, SANTA MARIA, CA 93454-7016
(805) 928-2645
(805) 928-1995
Mailing address
1505 SHEPARD DR, SUITE 131, SANTA MARIA, CA 93454-7020
(805) 928-2645
(805) 928-1995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ60016Z
BLUESHIELD
CA
Enumeration date
10/05/2007
Last updated
03/11/2022
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