Central Coast Otolaryngology
Central Coast Otolaryngology is a Medical Specialty Clinic/Center in Santa Maria, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
116 S Palisade Dr Ste 206Santa Maria, CA 93454-8906
Phone: (805) 614-9250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence PA13405 (CA) |
|---|
Record details
| NPI number | 1043623960 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Wikholm — Owner And Physician · (805) 614-9250 |
| NPI enumerated | June 9, 2014 |
| Last updated in NPPES | June 9, 2014 |
| Mailing address | 116 S Palisade Dr Ste 206, Santa Maria, CA 93454-8906 |