CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
Neurology at Peach St, San Luis Obispo, CA

License number
California G04937
Category
Neurology
Type
Clinical Neurophysiology
Owner
Name: MARY S AMIR MD
Title: PRESIDENT
Phone: (805) 544-7511
Address
Address
1035 Peach St SUITE 204, San Luis Obispo, CA 93401
National Provider ID: 1790199479
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC

1035 Peach St #204, San Luis Obispo, CA 93401

Registration:
Jan 5, 2000
State ID:
C2153903
Business type:
Articles of Incorporation
President:
Mary Amir (President)

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