# SAN LUIS OBISPO COUNTY CCS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oceano Medical Therapy Unit
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013007897
- **Authorized official:** MS. GAIL FREILER (SUPERVISING THERAPIST)
- **Authorized official phone:** (805) 226-3270

## Contact information

- **Practice address:** 1510 19TH ST, OCEANO, CA 93445-9301
- **Practice address phone:** (805) 473-7137
- **Practice address fax:** (805) 473-7118
- **Mailing address:** 1510 19TH ST, OCEANO, CA 93445-9301
- **Mailing address phone:** (805) 473-7137
- **Mailing address fax:** (805) 473-7118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/22/2020