Basic Information
| Provider Information | |||||||||
| NPI: | 1639394836 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OZA | ||||||||
| FirstName: | SOWMYA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 504 PLAZA DR | ||||||||
| Address2: | |||||||||
| City: | SANTA MARIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934546917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8057393474 | ||||||||
| FaxNumber: | 8053463548 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 CASA STREET | ||||||||
| Address2: | SUITE B | ||||||||
| City: | SAN LUIS OBISPO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934051818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8052420614 | ||||||||
| FaxNumber: | 8054571550 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2007 | ||||||||
| LastUpdateDate: | 02/21/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57.011517 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 036-123642 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 139970 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.