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SAN LUIS OBISPO CA ENDOSCOPY ASC LP

Surgery Yellow Pages

San Luis Obispo, California

Provider NPI: 1487629986

Organization Information:
Organization Name:  SAN LUIS OBISPO CA ENDOSCOPY ASC LP


Practice Location:
77 CASA ST SUITE 106 SAN LUIS OBISPO, CA 93405 US
Tel: 805-541-1021  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
CA050000424

Other Provider Identifiers:

IssuerNumberStateType
SUR01318FCA05
RAILROADP00638978CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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