CMG Medical Group Inc
Organization Active NPI Family Medicine Physician · Templeton, CA
NPI 1811273576 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1811273576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G51256 (CA)
- Legal business name
- CMG MEDICAL GROUP INC
- Practice address
- 265 Posada Lane
Suite B
Templeton, CA 93465-4056 - Phone
- (805) 434-0900
- Fax
- (805) 434-9260
- NPI assigned
- Oct 26, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- CMG MEDICAL GROUP INC
Authorized official
- Name
- Dr. Steven B Goodman, MD
- Title
- Ceo/Medical Director
- Phone
- (805) 543-4043
National Provider Directory
- Part of
- CMG Medical Group Inc
Locations
1555 Higuera St
Sn Luis Obisp, CA 93401
Phone (805) 543-4043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | G51256 | CA | Yes |
Addresses
Primary practice location
265 Posada Lane
Suite B
Templeton, CA 93465-4056
Mailing address
1555 Higuera Street
San Luis Obsipo, CA 93401-2917
Phone (805) 543-4043
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All providers in Templeton, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.