National Provider Identifier Database

CENTRAL COAST PEDIATRICS INC
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

CENTRAL COAST PEDIATRICS INC
1320 LAS TABLAS RD
SUITE D
TEMPLETON, CA93465-9711
Phone: 805-434-3796
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for CENTRAL COAST PEDIATRICS INC

NPI Number 1083869804
Legal business name
LBN
CENTRAL COAST PEDIATRICS INC
Authorized official RICHRD MACIAS - (PRES/CFO)
Entity Organization
Organization subpart Yes
Enumeration date 11/20/2008
Last updated 05/05/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0059300

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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