Organization
MED-STOPS MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M. ROBERTS M.D. (OWNER)
(805) 549-8880
Entity
Organization
Contact information
Practice address
283 MADONNA RD, SUITE B, SAN LUIS OBISPO, CA 93405-5432
(805) 549-8880
(805) 783-2009
Mailing address
283 MADONNA RD, SUITE B, SAN LUIS OBISPO, CA 93405-5432
(805) 549-8880
(805) 783-2009
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
22211568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184356300
USDL/ACS
—
01
—
5482188
AETNA
—
01
—
ZZZ00436Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/28/2005
Last updated
08/27/2025
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