County of San Luis Obispo

Organization Active NPI Community/Behavioral Health Agency · Paso Robles, CA

NPI 1124579131 · NPPES record last updated Oct 14, 2016

Key facts

NPI
1124579131
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COUNTY OF SAN LUIS OBISPO
Practice address
2501 Beechwood Dr
Paso Robles, CA 93446-4730
Phone
(805) 769-1250
NPI assigned
Oct 14, 2016
Organization subpart
No

Authorized official

Name
M Daisy Ilano, M.D
Title
Medical Director
Phone
(805) 781-4700

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
San Luis Obispo General (78 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

2501 Beechwood Dr
Paso Robles, CA 93446-4730

Mailing address

2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Phone (805) 781-4700

Other names

  • Virginia Peterson Elementary School Other name

Other providers in Paso Robles, CA

All providers in Paso Robles, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.