Organization
COUNTY OF SAN LUIS OBISPO
Active
Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
ARROYO GRANDE HIGH SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
M DAISY ILANO M.D. (MEDICAL DIRECTOR)
(805) 781-4800
Entity
Organization
Contact information
Practice address
495 VALLEY RD, ARROYO GRANDE, CA 93420-3928
(805) 781-4800
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4800
(805) 781-1273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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