Organization
PACIFIC CENTRAL COAST HEALTH CENTERS
Active
Parent organization
PACIFIC CENTRAL COAST HEALTH CENTERS
Other names
Edna Valley Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC CENTRAL COAST HEALTH CENTERS
Authorized official
MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER)
(805) 739-3475
Entity
Organization
Contact information
Practice address
4460 BROAD ST STE 110, SAN LUIS OBISPO, CA 93401-8065
(805) 597-6715
(805) 541-4973
Mailing address
1414 E MAIN ST STE 201, SANTA MARIA, CA 93454-4890
(805) 994-5485
(805) 739-3982
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
04/03/2023
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