Organization
COUNTY OF SAN LUIS OBISPO
Active
Parent organization
COUNTY OF SAN LUIS OBISPO
Other names
Public Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SAN LUIS OBISPO
Authorized official
ENRIQUE P LIMON (PROGRAM MANAGER)
(805) 781-4021
Entity
Organization
Contact information
Practice address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 781-5519
(805) 781-1048
Mailing address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 781-5519
(805) 781-1048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G46138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT11660F
—
CA
Enumeration date
09/20/2006
Last updated
07/05/2023
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