County of San Luis Obispo

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

NPI 1194276097 · NPPES record last updated Dec 20, 2016

Key facts

NPI
1194276097
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COUNTY OF SAN LUIS OBISPO
Practice address
11011 Heritage Ranch Loop Rd
Paso Robles, CA 93446-7725
Phone
(805) 781-4700
NPI assigned
Oct 17, 2016
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 21

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

11011 Heritage Ranch Loop Rd
Paso Robles, CA 93446-7725

Mailing address

2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Phone (805) 227-1040

Other names

  • CAPPY CULVER 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.