St Michael Nephrology, Pc

LBN: St Michael Nephrology, Pc
St Michael Nephrology, Pc is an health care organization with primary practice located at 620 California Blvd Bldg B Suite P1, San Luis Obispo CA 93401-2541. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. St Michael Nephrology, Pc can be contacted via phone (805) 792-2274, or through Dytiapco, Ernest Daniel Moreno via phone (805) 792-2274.

Contact Information

Primary practice address
620 California Blvd Bldg B Suite P1 San Luis Obispo CA 93401-2541
Fax:
Website:
Authorized official contact:
Name: Dytiapco, Ernest Daniel Moreno Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1669198206
LBN Legal business name St Michael Nephrology, Pc
DBA Doing business as
Authorized official Dytiapco, Ernest Daniel Moreno Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2022
Last updated Oct 17th, 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.

Request for update

Popular Providers