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County of San Luis Obispo

Organization Active NPI Community/Behavioral Health Agency · Oceano, CA

NPI 1679976104 · NPPES record last updated Sep 29, 2014

Key facts

NPI
1679976104
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COUNTY OF SAN LUIS OBISPO
Practice address
1511 19TH St
Oceano, CA 93445
Phone
(805) 781-4700
NPI assigned
Sep 29, 2014
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

1511 19TH St
Oceano, CA 93445

Mailing address

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Other names

  • OCEANO FAMILY RESOURCE CENTER Doing business as

Other providers in Oceano, CA

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

Sources for this page

Verify at the official NPI Registry.