Provider Demographics
NPI:1215980925
Name:OB GYN ASSOCIATES OF THE CENTRAL COAST
Entity type:Organization
Organization Name:OB GYN ASSOCIATES OF THE CENTRAL COAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHIEU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-422-7275
Mailing Address - Street 1:PO BOX 10627
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-7627
Mailing Address - Country:US
Mailing Address - Phone:831-800-1913
Mailing Address - Fax:831-789-1716
Practice Address - Street 1:335 KATHERINE AVE.
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901
Practice Address - Country:US
Practice Address - Phone:831-800-1913
Practice Address - Fax:831-789-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ26927ZMedicare PIN