Department of State Hospitals

NPI #1174573802 in Atascadero, California

Provider Information

NPI Number
1174573802
Entity Type
Organization
Organization Name
Department of State Hospitals
Subpart
Yes (part of a larger organization)
Parent Organization
DEPARTMENT OF STATE HOSPITALS
Primary Specialty
Psychiatric Hospital
Enumeration Date
May 11, 2006
Last Updated
Oct 19, 2021

Practice Location

Address
10333 EL CAMINO REAL
ZIP Code
93422-5808
Phone
(805) 468-2000

Authorized Official

Name
GUADALUPE M ALONZO-DIAZ
Title
ADMINISTRATIVE DEPUTY DIRECTOR
Phone
(916) 654-2655

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital
Intermediate Care Facility, Mental Illness
Skilled Nursing Facility
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Psychiatric Hospital

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