Organization
SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY
Active
Other names
CenCal Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO RIVERA (SITE DIRECTOR)
(805) 562-1641
Entity
Organization
Contact information
Practice address
4050 CALLE REAL, SANTA BARBARA, CA 93110-3413
(805) 685-9525
(805) 964-0540
Mailing address
4050 CALLE REAL, SANTA BARBARA, CA 93110-3413
(805) 685-9525
(805) 964-0540
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
953869541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSS00046F
MSSP PROVIDER NUMBER
CA
Enumeration date
11/18/2013
Last updated
11/18/2013
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