Organization
CUESTA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA M LANDIS (CONTRACTS MANAGER)
(805) 547-1255
Entity
Organization
Contact information
Practice address
171 N SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1328
(805) 543-4043
(805) 543-4427
Mailing address
1555 HIGUERA STREET, SAN LUIS OBISPO, CA 93401-2917
(805) 543-4043
(805) 543-4427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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