| Nipomo Family Resource Center | |
|
920 W Tefft St Nipomo CA 93444-9624 | |
| (805) 781-4700 | |
| Not Available |
| Full Name | Nipomo Family Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 920 W Tefft St, Nipomo, 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 |
|---|---|
| Nipomo Family Resource Center 2178 Johnson Ave San Luis Obispo CA 93401-4535 Ph: () - | Nipomo Family Resource Center 920 W Tefft St Nipomo CA 93444-9624 Ph: (805) 781-4700 |
| NPI Number | 1770986291 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770986291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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