Central Coast Neurology Medical Group, Inc
Central Coast Neurology Medical Group, Inc provides Clinical Neurophysiology Physician services in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1035 Peach St Ste 204San Luis Obispo, CA 93401-2700 Not confirmed with CMS for 12 years — call before visiting
Phone: (805) 544-7511
Fax: (805) 544-7560
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neurophysiology Physician (primary) | Taxonomy 2084N0600X · Licence G04937 (CA) |
|---|
Record details
| NPI number | 1790199479 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Amir — President · (805) 544-7511 |
| NPI enumerated | June 20, 2014 |
| Last updated in NPPES | June 20, 2014 |
| Mailing address | 1035 Peach St, Suite 204, San Luis Obispo, CA 93401-2700 |