# SAN LUIS OBISPO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043360191
- **Authorized official:** DONALD WAYNE CURTIS RN (THERAPIST III)
- **Authorized official phone:** (805) 461-6121

## Contact information

- **Practice address:** 2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
- **Practice address phone:** (805) 461-6060
- **Practice address fax:** (805) 461-6061
- **Mailing address:** 5575 HOSPITAL DRIVE, ATASCADERO, CA 93422
- **Mailing address phone:** (805) 461-6060
- **Mailing address fax:** (805) 461-6061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 603351 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020