| Virginia Peterson Elementary School | |
|
2501 Beechwood Dr Paso Robles CA 93446-4730 | |
| (805) 769-1250 | |
| Not Available |
| Full Name | Virginia Peterson Elementary School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2501 Beechwood Dr, Paso Robles, 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 |
|---|---|
| Virginia Peterson Elementary School 2178 Johnson Ave San Luis Obispo CA 93401-4535 Ph: (805) 781-4700 | Virginia Peterson Elementary School 2501 Beechwood Dr Paso Robles CA 93446-4730 Ph: (805) 769-1250 |
| NPI Number | 1124579131 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 10/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124579131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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