| Primary Care Partners - Slo, P.c. | |
|
84 Santa Rosa St A San Luis Obispo CA 93405-1812 | |
| (805) 591-4727 | |
| Not Available |
| Full Name | Primary Care Partners - Slo, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 84 Santa Rosa St, San Luis Obispo, California |
| Authorized Official Name and Position | Andrea Angelucci (FAMILY PHYSICIAN/ PRESIDENT) |
| Authorized Official Contact | 8055914727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Partners - Slo, P.c. 84 Santa Rosa St A San Luis Obispo CA 93405-1812 Ph: (805) 591-4727 | Primary Care Partners - Slo, P.c. 84 Santa Rosa St A San Luis Obispo CA 93405-1812 Ph: (805) 591-4727 |
| NPI Number | 1831631001 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 7113203647 |
|---|---|
| Medicare Enrollment ID | O20170417000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831631001 | NPI | - | NPPES |
| 1215284096 | Other | CA | NPI |
| 1861676553 | Other | NPI | |
| 1215150040 | Other | NPI | |
| 1851616106 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A11012 (California) | Primary |
| Provider Name | Barbara Defirmian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215150040 PECOS PAC ID: 9335131929 Enrollment ID: I20040401001805 |
| Provider Name | Andrea Angelucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851616106 PECOS PAC ID: 3274705926 Enrollment ID: I20111003000056 |
| Provider Name | Katherine R Estopinal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548612054 PECOS PAC ID: 0840662748 Enrollment ID: I20230201003357 |
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