Central Coast Obstetrics & Gynecology, Inc.
LBN: Central Coast Obstetrics & Gynecology, Inc.
Central Coast Obstetrics & Gynecology, Inc. is an health care organization with primary practice located at 35 Casa Street Suite 220, San Luis Obispo CA 93405-1890. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty.
Central Coast Obstetrics & Gynecology, Inc. can be contacted via phone (805) 548-0775, or through Lickness, Danny Leroy via phone (805) 544-8811.
Contact Information
Primary practice address
35 Casa Street Suite 220
San Luis Obispo CA 93405-1890
Phone: (805) 548-0775
Fax: (805) 548-0777
Website:
Authorized official contact:
Name: Lickness, Danny Leroy Doctor of Medicine (MD)
Phone: (805) 544-8811
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X |
Profile Details
| NPI number | 1013181817 |
|---|---|
| LBN Legal business name | Central Coast Obstetrics & Gynecology, Inc. |
| DBA Doing business as | |
| Authorized official | Lickness, Danny Leroy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Jun 24th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013181817 | NPPES |
| California | MEDICAID | GR0092200 |
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