Organization
WOMENS HEALTHCARE SPECIALISTS OF SAN LUIS OBISPO INC
Active
Other names
WOMENS HEALTHCARE SPECIALISTS MEDICAL GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR I SEGAL MD (PRESIDENT)
(805) 544-4883
Entity
Organization
Contact information
Practice address
184 CASA ST, SAN LUIS OBISPO, CA 93405-1804
(805) 544-4883
(805) 542-0827
Mailing address
184 CASA ST, SAN LUIS OBISPO, CA 93405-1804
(805) 544-4883
(805) 542-0827
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E052094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP 25071
FICTITIOUS NAME PERMIT #
CA
01
—
ZZZ52948Z
BLUE SHIELD GROUP PIN
CA
Enumeration date
08/15/2005
Last updated
01/05/2011
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