Dr. Lee J Piatek
Sports Medicine Doctor
1500 Palm St Ste A
San Luis Obispo
, California 93401-2998
Dr. Lee J Piatek
Sports Medicine Doctor
1500 Palm St Ste A
San Luis Obispo
, California 93401-2998
(805) 995-1873
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Lee J Piatek
- 3405 Studio Dr
- Cayucos, CA
- Zip : 93430-1937
- Phone : (805) 995-1873
Second Address
- Dr. Lee J Piatek
- 1500 Palm St Ste A
- San Luis Obispo, CA
- Zip : 93401-2998
- Phone : (805) 542-9678
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | G28265 | CA |
National Provider Identifier
| NPI | 1043328016 |
|---|---|
| Provider Name | Dr. Lee J Piatek |
| First Address | Cayucos, CA 93430-1937 |
| Second Address | San Luis Obispo, CA 93401-2998 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 05/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G282650 | (05) | CA |
| A43673 | (02) | CA |
| CH658Z | PTAN (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.