San Luis Obispo Select

NPI #1689797342 in Grover Beach, California

Provider Information

NPI Number: 1689797342
Entity Type: Organization
Organization Name: San Luis Obispo Select
Primary Specialty: Specialist
Enumeration Date: Apr 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1570 W GRAND AVE
City: Grover Beach
State: California
ZIP Code: 93433-2261
Phone: (805) 755-1146

Authorized Official

Name: MS. BARBARA CHEEVER
Title: EXECUTIVE DIRECTOR
Phone: (805) 755-1146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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