Retina Specialists Of The Central Coast Inc
LBN: Retina Specialists Of The Central Coast Inc
Retina Specialists Of The Central Coast Inc is an health care organization with primary practice located at 628 California Blvd Suite C, San Luis Obispo CA 93401-2542. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Retina Specialists Of The Central Coast Inc can be contacted via phone (805) 547-2090, or through Lauritzen, Derek B. via phone (805) 547-2090.
Contact Information
Primary practice address
628 California Blvd Suite C
San Luis Obispo CA 93401-2542
Phone: (805) 547-2090
Fax: (805) 547-2095
Website:
Authorized official contact:
Name: Lauritzen, Derek B. Doctor of Medicine (MD)
Phone: (805) 547-2090
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C3049777 | California |
Profile Details
| NPI number | 1821271248 |
|---|---|
| LBN Legal business name | Retina Specialists Of The Central Coast Inc |
| DBA Doing business as | |
| Authorized official | Lauritzen, Derek B. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2007 |
| Last updated | Nov 18th, 2009 - 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 | 1821271248 | NPPES |
| California | Other | C3049777 | CA STATE LICENSE |
| California | Other | 613177600 | CA STATE LICENSE |
| California | Other | ZZZ50256Y | CA STATE LICENSE |
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