Co. Of San Luis Obispo

NPI 1134528805 - Case Management - 251B00000X

NPI Details
NPI 1134528805
Enumeration Date 08/19/2014
Last Updated 08/19/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MADALYN BETHANN MADALYN
Position CASE MANAGER
Phone (805) 473-7080
Fax (805) 473-7188
Practice Location
1523 LONGBRANCH AVE
GROVER BEACH CA, 93433-2508, US
Phone (805) 473-7080
Fax (805) 473-7188
Business Location
1523 LONGBRANCH AVE
GROVER BEACH CA, 93433-2508, US
Phone (805) 473-7080
Fax (805) 473-7188
Toxanomy
Taxonomy Code 251B00000X
License State California
License Number P0602150905
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According to our database, Co. Of San Luis Obispo NPI is 1134528805, taxonomy code is 251B00000X and license number is P0602150905, license state is located at California. Co. Of San Luis Obispo physically located at 1523 Longbranch Ave, Grover Beach CA, 93433-2508. NPI Number 1033115704 has the healthcare provider type.

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1134528805 NPI number is provided on an as is basis without warranty of any kind. 1134528805 is maintained by the National Plan & Provider Enumeration System. The contents of Co. Of San Luis Obispo are for informational purposes only.