Pismo Family Practice Medical Corporation A Ca Prof Medical Corp is a Family Medicine Physician based in Pismo Beach, CA. Pismo Family Practice Medical Corporation A Ca Prof Medical Corp practices in Pismo Beach, CA. The NPI Number for Pismo Family Practice Medical Corporation A Ca Prof Medical Corp is 1497746473 and holds a License No. 20A0436 (California).
The current practice location address for Pismo Family Practice Medical Corporation A Ca Prof Medical Corp is 575 Price St, Pismo Beach, CA and can be reached out via phone at 805-773-0707 and via fax at 805-773-2051.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1962153 | 01 | CA | STATE CORPORATION NUMBER |
| ZZZ48888Z | 01 | CA | BLUE SHIELD GROUP NUMBER |
| GR0080750 | 05 | CA |
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