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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
77 CASA ST, STE. 103, SAN LUIS OBISPO, CA 93405-5803
(805) 546-0411
(805) 489-1421
Mailing address
77 CASA ST, STE. 103, SAN LUIS OBISPO, CA 93405-5803
(805) 546-0411
(805) 489-1421

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
11/30/2010
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