San Luis Primary Care Medical Group, Inc.

LBN: San Luis Primary Care Medical Group, Inc.
San Luis Primary Care Medical Group, Inc. is an health care organization with primary practice located at 1941 Johnson Ave Suite 203, San Luis Obispo CA 93401-4140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. San Luis Primary Care Medical Group, Inc. can be contacted via phone (805) 546-0780, or through Leece, David W. via phone (805) 546-0780.

Contact Information

Primary practice address
1941 Johnson Ave Suite 203 San Luis Obispo CA 93401-4140
Phone: (805) 546-0780
Fax: (805) 546-0332
Website:
Map and Directions
Authorized official contact:
Name: Leece, David W. Doctor of Medicine (MD)
Phone: (805) 546-0780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C2321370 California

Profile Details

NPI number 1831168772
LBN Legal business name San Luis Primary Care Medical Group, Inc.
DBA Doing business as
Authorized official Leece, David W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 13th, 2008 - about 17 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 1831168772 NPPES
California Other ZZZ00890Z BLUE SHIELD OF CALIFORNIA

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