| Organization Name: | PACIFIC CENTRAL COAST HEALTH CENTERS |
| NPI Number: | 1821487414 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUE ANDERSEN (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 685 Morro Ave Suite C Morro Bay |
| State: | CA US |
| Postal Code: | 934422233 |
| Phone Number: | 8057727313 |
| Fax Number: | 8057720395 |
| NPI Enumeration Date: | 01/20/2015 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |