SAN LUIS OBISPO NPI 1043360191

NPI Information

NPI: 1043360191
Provider Name: SAN LUIS OBISPO
Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2178 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 461-6060
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SAN LUIS OBISPO is a psychiatric/mental health registered nurse in San Luis Obispo, CA. SAN LUIS OBISPO NPI is 1043360191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2178 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401-535
Phone: (805) 461-6060
Fax: (805) 461-6061

The provider's authorized official is Donald Wayne Curtis .
The authorized official title is Therapist Iii and has the following contact phone number (805) 461-6121.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	603351	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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