institution
Community Heatlh Centers Of The Central Coast
Community Health Clinic/Center in Atascadero, California
NPI 1609865864

Community Heatlh Centers Of The Central Coast is a Community Health Clinic/Center based in Nipomo, CA and is specialized in Community Health. Community Heatlh Centers Of The Central Coast practices in Atascadero, CA. The NPI Number for Community Heatlh Centers Of The Central Coast is 1609865864 and holds a License No. PHY 46797 (California).

The current practice location address for Community Heatlh Centers Of The Central Coast is 5575 Capistrano Ave, Atascadero, CA and can be reached out via phone at 805-792-1422 and via fax at 805-792-1488. You can also correspond with Community Heatlh Centers Of The Central Coast through the mailing address at 150 TEJAS PL, NIPOMO, CA - 93444-9123 (mailing address contact number: 805-269-1326).

Location: 5575 Capistrano Ave, Atascadero, CA, 93444-9123
institution
Provider Profile Details
NPI Number
1609865864
Provider Name
Community Heatlh Centers Of The Central Coast
Credential
Provider Entity Type
Organization
Address
5575 Capistrano Ave, Atascadero, CA, 93444-9123
Phone Number
805-792-1422
Fax Number
805-792-1488
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHA467970 05 CA
PHY46797 01 CA PHARMACY LICENSE #
5613612 01 CA NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
5575 Capistrano Ave
City
State
Zip
93422-4264
Phone Number
805-792-1422
Fax Number
805-792-1488
person
Provider Business Mailing Address Details
Address
5575 Capistrano Ave
City
State
Zip
93422-4264
Phone Number
805-792-1422
Fax Number
805-792-1488
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
PHY 46797 (California)
Definition
Definition to come...
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