Organization
CENTRAL COAST NEUROLOGICAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN YEH MD (PHYSICIAN, CEO)
(805) 704-0889
Entity
Organization
Contact information
Practice address
1531 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2917
(805) 704-0889
(805) 548-1994
Mailing address
1531 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2917
(805) 704-0889
(805) 548-1994
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C130112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05780015
—
MS
Enumeration date
07/30/2014
Last updated
07/30/2014
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