| Organization Name: | CENTRAL COAST URGENT CARE INC |
| NPI Number: | 1427372226 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC N SORENSEN (PRESIDENT) |
| Mailing Address: | 783 Quintana Rd Morro Bay |
| State: | CA US |
| Postal Code: | 934421966 |
| Phone Number: | 8057710108 |
| Fax Number: | 8057710111 |
| NPI Enumeration Date: | 03/23/2010 |
| NPI Last Update Date: | 11/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | A34991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |