Organization
CHRISTOPHER V LUTMAN MD A CALIFORNIA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER V LUTMAN M.D. (M.D.)
(614) 315-7976
Entity
Organization
Contact information
Practice address
2 JAMES WAY STE 109, PISMO BEACH, CA 93449-4974
(805) 416-0600
Mailing address
1130 E CLARK AVE STE 150, SANTA MARIA, CA 93455-5178
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB342708
MEDICARE GROUP
CA
Enumeration date
01/28/2020
Last updated
05/08/2020
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