Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
CAPPY CULVER ELEMENTARY SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
M DAISY ILANO MD (MEDICAL DIRECTOR)
(805) 781-4700
Entity
Organization
Contact information
Practice address
11011 HERITAGE RANCH LOOP RD, PASO ROBLES, CA 93446-7725
(805) 781-4700
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 227-1040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
12/20/2016
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