Individual
DR. MARIA CECELIA A RASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1941 JOHNSON AVE STE 301, SAN LUIS OBISPO, CA 93401-4175
(805) 786-4111
(805) 543-6357
Mailing address
1941 JOHNSON AVE STE 301, SAN LUIS OBISPO, CA 93401-4175
(805) 786-4111
(805) 543-6357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C51160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB243502
MEDICARE ID
CA
Enumeration date
09/20/2005
Last updated
12/23/2024
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