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NPI Code Detail

MEDICARE: COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.

MEDICARE: COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center050000084CA
2261Q00000XClinic/Center0500086CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZT11858FOTHERCAMEDICAL AND FPACT

General Provider Information

NPI Number : 1447321120
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
Provider Business Mailing Address
First Line : 1030 SOUTHWOOD DR
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-5813
Country : US
Telephone Number : 805-544-4355
Fax Number : 805-549-8388
Provider Business Practice Location Address
First Line : 705 GRAND AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-2639
Country : US
Telephone Number : 805-544-2498
Fax Number : 805-544-3649
Authorized Official
Title or Position : CEO
Name : MRS. ELIZABETH STEINBERG
Credential :
Telephone Number : 805-544-4355
Provider Enumeration Date : 11/13/2006
Last Update Date : 04/07/2014

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Directions to “COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC. ” Practice Location

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