| NPI | 1134648603 |
|---|---|
| Other Name | SAN LUIS OBISPO HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | M.DAISY ILANO Medical Director 805-781-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |