| Shell Beach Elementary School | |
|
2100 Shell Beach Rd Shell Beach CA 93449-1800 | |
| (805) 781-4700 | |
| Not Available |
| Full Name | Shell Beach Elementary School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2100 Shell Beach Rd, Shell 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 |
|---|---|
| Shell Beach Elementary School 2178 Johnson Ave San Luis Obispo CA 93401-4535 Ph: () - | Shell Beach Elementary School 2100 Shell Beach Rd Shell Beach CA 93449-1800 Ph: (805) 781-4700 |
| NPI Number | 1477955128 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477955128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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