Pismo Family Practice Medical Corporation a Ca Prof Medical Corp
NPI #1497746473 in Pismo Beach, California
Provider Information
- NPI Number
- 1497746473
- Entity Type
- Organization
- Organization Name
- Pismo Family Practice Medical Corporation a Ca Prof Medical Corp
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Jan 25, 2016
Practice Location
- Address
- 575 PRICE ST
- Address 2
- SUITE 101
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-2553
- Phone
- (805) 773-0707
Authorized Official
- Name
- DR. WENDY EVE WEISS, D.O.
- Title
- PRESIDENT
- Phone
- (805) 773-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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