County of San Luis Obispo
NPI #1770986291 in Nipomo, California
Provider Information
- NPI Number
- 1770986291
- Entity Type
- Organization
- Organization Name
- County of San Luis Obispo
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 29, 2014
- Last Updated
- Sep 29, 2014
Practice Location
- Address
- 920 W TEFFT ST
- City
- Nipomo
- State
- California
- ZIP Code
- 93444-9624
- Phone
- (805) 781-4700
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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