Organization
OSF MEDICAL GROUP OF CALIFORNIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MOELLEKEN MD (PRESIDENT/CEO)
(805) 563-3307
Entity
Organization
Contact information
Practice address
326 W MAIN ST, SANTA MARIA, CA 93458-5070
(805) 925-9997
(805) 925-9988
Mailing address
PO BOX 3559, SAN LUIS OBISPO, CA 93403-3559
(805) 786-4879
(805) 597-8354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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