Brian Bolenbaugh

NPI 1275958571 · on the registry since 2014 · sole proprietor

Practice

Address: 628 California Blvd
Suite F
San Luis Obispo, CA 93401
Phone: (805) 544-3277
Organisation at this address: Synergy Health Group
Randall L Lonsbrough D D S Inc
Central Coast Eye Associates Inc
Duistermars Optometric Corporation
Central Coast Regenerative Medicine Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California