# HP CONTINGENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLO Rehabilitation Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659745974
- **Authorized official:** LISA M GLEASON M.D. (PHYSICIAN)
- **Authorized official phone:** (310) 499-8365

## Contact information

- **Practice address:** 35 CASA ST, SUITE 370, SAN LUIS OBISPO, CA 93405-1818
- **Practice address phone:** (805) 900-0741
- **Practice address fax:** (805) 221-6135
- **Mailing address:** 3599 SUELDO ST, SUITE 110, SAN LUIS OBISPO, CA 93401-7386
- **Mailing address phone:** (805) 900-0741
- **Mailing address fax:** (805) 221-6135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A108043 | CA | Yes |

## Other

- **Enumeration date:** 11/24/2015
- **Last updated:** 11/24/2015