Organization
KEN STARR MD WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN STARR (OWNER)
(626) 797-9977
Entity
Organization
Contact information
Practice address
107 NELSON ST, ARROYO GRANDE, CA 93420-3318
(626) 797-9977
(626) 844-2977
Mailing address
107 NELSON ST, ARROYO GRANDE, CA 93420
(626) 797-9977
(626) 844-2977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
07/19/2017
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