Organization
WELLBRIDGE MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNOR VANDERVEER JOHNSON MD (MEDICAL DIRECTOR)
(805) 835-8865
Entity
Organization
Contact information
Practice address
2500 PECHO VALLEY RD, LOS OSOS, CA 93402-4104
(805) 835-8865
Mailing address
4280 LA POSADA, SAN LUIS OBISPO, CA 93401-7939
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
05/03/2024
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