Healthcare Provider Details

I. General information

NPI: 1447321120
Provider Name (Legal Business Name): COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 04/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 GRAND AVE
SAN LUIS OBISPO CA
93401-2639
US

IV. Provider business mailing address

1030 SOUTHWOOD DR
SAN LUIS OBISPO CA
93401-5813
US

V. Phone/Fax

Practice location:
  • Phone: 805-544-2498
  • Fax: 805-544-3649
Mailing address:
  • Phone: 805-544-4355
  • Fax: 805-549-8388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number050000084
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number0500086
License Number StateCA

VIII. Authorized Official

Name: MRS. ELIZABETH STEINBERG
Title or Position: CEO
Credential:
Phone: 805-544-4355