Individual provider · Type 1 NPI
Travis Freitas
Specialist · San Luis Obispo, CA
NPI number
1093126732
Active
Practice location
3970 Broad St Ste 5
San Luis Obispo, CA 93401-7097
Fax (866) 714-3887
Mailing address
PO Box 818
Pismo Beach, CA 93448-0818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CPED0874 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1093126732
Travis Freitas's National Provider Identifier is 1093126732, issued on May 15, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Luis Obispo, CA. The record was last updated on May 15, 2014.