AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST
Medical Practice at Johnson Ave, San Luis Obispo, CA

License number
California 05D0586788
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: MARIA WILSON
Title: ADMINISTRATION SERVICES SUPERVISOR
Phone: (805) 541-6033
Address
Address 2
1911 Johnson Ave, San Luis Obispo, CA 93401
PO Box 10076, Van Nuys, CA 91410
National Provider ID: 1518207067
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST at bizstanding.com

Affiliated Pathologists of The Central Coast

San Diego, CA  -  San Luis Obispo, CA

Registration:
Dec 19, 2012
Addresses:
3043 4 Ave, San Diego, CA 92103
3701 S Higuera St, San Luis Obispo, CA 93401
State ID:
03525344
Business type:
Articles of Incorporation
President:
Rocha Ronald (President)
Agent:
Rocha M D Ronald

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