Organization
ASSOCIATED SURGEONS OF SAN LUIS OBISPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN SUEYO HAYASHI MD FACS (GENERAL PARTNER)
(805) 546-0411
Entity
Organization
Contact information
Practice address
921 OAK PARK BLVD STE 201, PISMO BEACH, CA 93449-3400
(805) 546-0411
(805) 473-4891
Mailing address
921 OAK PARK BLVD STE 201, PISMO BEACH, CA 93449-3400
(805) 546-0411
(805) 473-4891
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0044720
—
CA
05
—
GR0044721
—
CA
Enumeration date
10/12/2005
Last updated
06/03/2026
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