Pismo Family Practice

LBN: Pismo Family Practice Medical Corporation A Ca Prof Medical Corp
Pismo Family Practice is an health care organization with primary practice located at 575 Price St Suite 101, Pismo Beach CA 93449-2553. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pismo Family Practice Medical Corporation A Ca Prof Medical Corp can be contacted via phone (805) 773-0707, or through Weiss, Wendy Eve via phone (805) 773-0707.

Contact Information

Primary practice address
575 Price St Suite 101 Pismo Beach CA 93449-2553
Phone: (805) 773-0707
Fax: (805) 773-2051
Website:
Map and Directions
Authorized official contact:
Name: Weiss, Wendy Eve Doctor of Osteopathy (DO)
Phone: (805) 773-0707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A0436 California

Profile Details

NPI number 1497746473
LBN Legal business name Pismo Family Practice Medical Corporation A Ca Prof Medical Corp
DBA Doing business as Pismo Family Practice
Authorized official Weiss, Wendy Eve Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 25th, 2016 - about 8 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 1497746473 NPPES
California Other C1962153 STATE CORPORATION NUMBER
California Other ZZZ48888Z STATE CORPORATION NUMBER
California MEDICAID GR0080750 STATE CORPORATION NUMBER

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