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Individual

DR. ARMANDO F SIQUEIROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
842 CALIFORNIA BLVD, SAN LUIS OBISPO, CA 93401-2902
(805) 549-5277
(805) 549-5293
Mailing address
842 CALIFORNIA BLVD, SAN LUIS OBISPO, CA 93401-2902
(805) 549-5277
(805) 549-5293

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G71396
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G713960
BLUE SHIELD
CA
05
00G713960
CA
01
FT927Z
MEDICARE ID
CA
Enumeration date
11/23/2005
Last updated
05/09/2023
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