Doctors Medplus Medical Center

NPI #1316173974 in Pismo Beach, California

Provider Information

NPI Number
1316173974
Entity Type
Organization
Organization Name
Doctors Medplus Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jun 9, 2009
Last Updated
Jun 9, 2009

Practice Location

Address
877 OAK PARK BLVD
ZIP Code
93449-3292
Phone
(805) 474-8450

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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