| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1760986228 | DEMOSS | WESLEY | HOWARD | 2945 MCMILLAN AVE STE 240 | SAN LUIS OBISPO | CA | 934016771 | |
| 1972008787 | POWERS | RENA | EILEEN | 2945 MCMILLAN AVE STE 240 | SAN LUIS OBISPO | CA | 934016771 | |
| 1447720818 | RAMIREZ | JODARIO | 2945 MCMILLAN AVE STE 240 | SAN LUIS OBISPO | CA | 934016771 |