Chc
NPI #1184028797 in Nipomo, California
Provider Information
- NPI Number
- 1184028797
- Entity Type
- Organization
- Organization Name
- Chc
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Oct 11, 2014
- Last Updated
- Oct 11, 2014
Practice Location
- Address
- 150 TEJAS PL
- City
- Nipomo
- State
- California
- ZIP Code
- 93444-9123
- Phone
- (805) 929-3254
Authorized Official
- Name
- DR. MALIA JOHNSON, DDS
- Title
- CLINIC DIRECTOR
- Phone
- (805) 929-3254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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