Organization · Type 2 NPI

Pacific Central Coast Health Centers

Community Health Clinic/Center · Santa Maria, CA

NPI number 1265806020 Active

Practice location

206 S Stratford Ave, Suite B
Santa Maria, CA 93454-5901

Call (805) 474-5807 Map

Fax (805) 474-5808

Mailing address

117 W Bunny Ave
Santa Maria, CA 93458-2805

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

Another provider at this address

Pacific Central Coast Health CentersCommunity Health Clinic/Center Santa Maria, CA NPI 1841548880

Other community health clinic/center providers in Santa Maria

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NPI record

NPI: 1265806020
Entity type: Organization (Type 2)
Issued: Nov 17, 2015
Last updated: Nov 12, 2018
Status: Active
Subpart: Yes of Pacific Central Coast Health Centers

Other names

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Ent & Allergy Health Center · doing business as
Ent & Allergy Health Center · doing business as

Authorized official

Matthew Richardson
Chief Financial Officer
(805) 739-3108

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265806020

Pacific Central Coast Health Centers's National Provider Identifier is 1265806020, issued on Nov 17, 2015. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Santa Maria, CA. The record was last updated on Nov 12, 2018.