County of San Luis Obispo
NPI #1134648603 in San Luis Obispo, California
Provider Information
- NPI Number
- 1134648603
- Entity Type
- Organization
- Organization Name
- County of San Luis Obispo
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 15, 2017
- Last Updated
- Sep 15, 2017
Practice Location
- Address
- 1499 SAN LUIS DR
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-3060
- Phone
- (805) 596-4040
Authorized Official
- Name
- M.DAISY ILANO, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (805) 781-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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