Organization
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC
Active
Other names
Central Coast Family Care Medical Associates of Santa Maria, Inc, Central Coast Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J THEIS MD (PRESIDENT)
(805) 349-1227
Entity
Organization
Contact information
Practice address
355 DANIEL DR STE 105, SANTA MARIA, CA 93454-8840
(805) 937-3368
Mailing address
1105 E FOSTER RD, SUITE G, SANTA MARIA, CA 93455-6437
(805) 937-3368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
02/20/2020
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