| Judkins Middle School | |
|
680 Wadsworth Ave Pismo Beach CA 93449-2359 | |
| (805) 781-4700 | |
| Not Available |
| Full Name | Judkins Middle School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 680 Wadsworth Ave, Pismo Beach, California |
| Authorized Official Name and Position | M Daisy Ilano (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8057814700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judkins Middle School 2178 Johnson Ave San Luis Obispo CA 93401-4535 Ph: () - | Judkins Middle School 680 Wadsworth Ave Pismo Beach CA 93449-2359 Ph: (805) 781-4700 |
| NPI Number | 1710380241 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710380241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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