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Organization

FAMILY MEDICINE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE FRANCO (SITE COORDINATOR)
(805) 739-3561
Entity
Organization

Contact information

Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3561
Mailing address
PO BOX 5549, SANTA MARIA, CA 93456-5549
(805) 739-3561
(805) 739-3561

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1760723910
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730313016
NPI
CA
01
1912939075
NPI
CA
Enumeration date
02/03/2014
Last updated
02/03/2014
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