Central Coast Renal Care Inc

LBN: Central Coast Renal Care Inc
Central Coast Renal Care Inc is an health care organization with primary practice located at 1551 Bishop St Bldg A Ste 110 , San Luis Obispo CA 93401-4692. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Central Coast Renal Care Inc can be contacted via phone (805) 548-8585, or through Penton, Brian Scott via phone (805) 548-8585.

Contact Information

Primary practice address
1551 Bishop St Bldg A Ste 110 San Luis Obispo CA 93401-4692
Fax: (805) 548-8589
Website:
Authorized official contact:
Name: Penton, Brian Scott Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X California

Profile Details

NPI number 1578716759
LBN Legal business name Central Coast Renal Care Inc
DBA Doing business as
Authorized official Penton, Brian Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2008
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578716759 NPPES
California Other 1221 SLO COUNTY MEDICAL SERVICES PROGRAM- GROUP PIN NUMBER
California Other C3163787 SLO COUNTY MEDICAL SERVICES PROGRAM- GROUP PIN NUMBER

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