Central Coast Institute for Plastic Surgery, Amc
Central Coast Institute for Plastic Surgery, Amc is an Ambulatory Surgical Clinic/Center in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
1531 Higuera StSan Luis Obispo, CA 93401-2917
Phone: (805) 544-6000
Fax: (805) 544-5460
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Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence A50869 (CA) |
|---|
Record details
| NPI number | 1053589077 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Donath — President · (805) 544-6000 |
| Other names | Gary R Donath Md Inc |
| NPI enumerated | February 12, 2008 |
| Last updated in NPPES | May 21, 2008 |
| Mailing address | 1531 Higuera St, San Luis Obispo, CA 93401-2917 |
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