Organization
CENTRAL COAST OBSTETRICS AND GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THIELSCHER DDS, MBA (PRACTICE ADMINISTRATOR)
(805) 786-4111
Entity
Organization
Contact information
Practice address
220 S PALISADE DR, STE 204, SANTA MARIA, CA 93454-8902
(805) 354-7101
(805) 354-7102
Mailing address
100 CASA ST, STE B, SAN LUIS OBISPO, CA 93405-1883
(805) 786-4111
(805) 543-6357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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