Famularo, Michael A

Famularo, Michael A is an individual health care provider with primary practice located at 1941 Johnson Ave # 101, San Luis Obispo CA 93401-4154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Famularo, Michael A can be contacted via phone (805) 782-8844.

Contact Information

Primary practice address
1941 Johnson Ave # 101 San Luis Obispo CA 93401-4154
Phone: (805) 782-8844
Fax: (805) 782-8859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G29696 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G29696 California

Profile Details

NPI number 1174501845
LBN Legal business name Famularo, Michael A
Credentials MD, FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174501845 NPPES
California Other 110006126 RAILROAD MEDICARE
California Other ZZZ28458Z RAILROAD MEDICARE
California MEDICAID GR0068680 RAILROAD MEDICARE

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