Organization
CENTRAL COAST DIRECT MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE PENNINGTON (OFFICE MANAGER)
(805) 988-4400
Entity
Organization
Contact information
Practice address
1360 NEW WINE PL, TEMPLETON, CA 93465-4006
(805) 988-4400
Mailing address
PO BOX 1958, TEMPLETON, CA 93465-1958
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/16/2024
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