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San Luis Primary Care Medical Group, Inc.
Family Medicine Physician in San Luis Obispo, California
NPI 1831168772

San Luis Primary Care Medical Group, Inc. is a Family Medicine Physician based in San Luis Obispo, CA. San Luis Primary Care Medical Group, Inc. practices in San Luis Obispo, CA. The NPI Number for San Luis Primary Care Medical Group, Inc. is 1831168772 and holds a License No. C2321370 (California).

The current practice location address for San Luis Primary Care Medical Group, Inc. is 1941 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-546-0780 and via fax at 805-546-0332.

Location: 1941 Johnson Ave, San Luis Obispo, CA, 93401-4140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831168772
Provider Name
San Luis Primary Care Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
1941 Johnson Ave, San Luis Obispo, CA, 93401-4140
Phone Number
805-546-0780
Fax Number
805-546-0332
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ00890Z 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
1941 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4140
Phone Number
805-546-0780
Fax Number
805-546-0332
person
Provider Business Mailing Address Details
Address
1941 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4140
Phone Number
805-546-0780
Fax Number
805-546-0332
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
C2321370 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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