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COUNTY OF SAN LUIS OBISPO NPI 1932563053


NPI Information

NPI: 1932563053
Provider Name: COUNTY OF SAN LUIS OBISPO

Other Name: SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1350 E GRAND AVE
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 781-4700
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COUNTY OF SAN LUIS OBISPO is a mental health (including community mental health center) clinic center in Arroyo Grande, CA. COUNTY OF SAN LUIS OBISPO NPI is 1932563053. The provider is registered as an organization entity type.
The provider Other Name Is San Luis Obispo County Mental Health Services.

The provider's business location address is:

1350 E GRAND AVE
ARROYO GRANDE, CA
ZIP 93420-422
Phone: (805) 781-4700

The provider's authorized official is M. Daisy Ilano .
The authorized official title is Medical Director and has the following contact phone number (805) 781-4700.

The enumeration date for this NPI number is 4/6/2016 and was last updated on 5/5/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14000MEDICAIDCALIFORNIA
2CP065AMEDICARE PINCALIFORNIA

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: 11/14/2023

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