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Organization

ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST

Active
Other names
Oncology Hematology Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS L. SPILLANE M.D. (PRESIDENT)
(805) 543-5577
Entity
Organization

Contact information

Practice address
715 TANK FARM ROAD, SAN LUIS OBISPO, CA 93401-4140
(805) 543-5577
(805) 595-3231
Mailing address
715 TANK FARM ROAD, SAN LUIS OBISPO, CA 93401-4140
(805) 543-5577
(805) 595-3231

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2368027
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1018
CMSP GROUP PIN
CA
05
GR0091140
CA
01
ZZZ02934Z-22
BLUE SHIELD PIN
CA
Enumeration date
06/13/2005
Last updated
01/21/2015
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