County of San Luis Obispo
NPI #1073501870 in San Luis Obispo, California
Provider Information
- NPI Number
- 1073501870
- Entity Type
- Organization
- Organization Name
- County of San Luis Obispo
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 6, 2005
- Last Updated
- Aug 22, 2013
Practice Location
- Address
- 2178 JOHNSON AVE
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-4535
- Phone
- (805) 781-4700
Authorized Official
- Name
- M. DAISY ILANO, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (805) 781-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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