Central Coast Obstetrics & Gynecology, Inc.
NPI #1013181817 in San Luis Obispo, California
Provider Information
- NPI Number
- 1013181817
- Entity Type
- Organization
- Organization Name
- Central Coast Obstetrics & Gynecology, Inc.
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Jun 24, 2010
Practice Location
- Address
- 35 CASA STREET
- Address 2
- SUITE 220
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93405-1890
- Phone
- (805) 548-0775
Authorized Official
- Name
- MR. DANNY LEROY LICKNESS, MD
- Title
- PRESIDENT
- Phone
- (805) 544-8811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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