Organization
CENTRAL COAST OBSTETRICS AND GYNECOLOGY, INC., A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE FURUKAWA (BILLING OFFICE MANAGER)
(805) 548-0775
Entity
Organization
Contact information
Practice address
100 CASA ST, SUITE B, SAN LUIS OBISPO, CA 93405-1883
(805) 544-8811
(805) 548-0777
Mailing address
100 CASA ST, SUITE B, SAN LUIS OBISPO, CA 93405-1883
(805) 544-8811
(805) 548-0777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092202
—
CA
Enumeration date
08/14/2006
Last updated
04/16/2014
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