San Luis Primary Care Medical Group, Inc.
NPI #1831168772 in San Luis Obispo, California
Provider Information
- NPI Number
- 1831168772
- Entity Type
- Organization
- Organization Name
- San Luis Primary Care Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Mar 13, 2008
Practice Location
- Address
- 1941 JOHNSON AVE
- Address 2
- SUITE 203
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-4140
- Phone
- (805) 546-0780
Authorized Official
- Name
- DR. DAVID W. LEECE, M.D.
- Title
- PRESIDENT
- Phone
- (805) 546-0780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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