Cac Sierra Madre

LBN: Cac Sierra Madre
Cac Sierra Madre is an health care organization with primary practice located at 1002 Sierra Madre Ave , Santa Maria CA 93454-6337. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Cac Sierra Madre can be contacted via phone (805) 349-9707, or through Scott, David Laurel via phone (805) 260-4676.

Contact Information

Primary practice address
1002 Sierra Madre Ave Santa Maria CA 93454-6337
Phone: (805) 349-9707
Fax: (805) 349-8221
Website:
Map and Directions
Authorized official contact:
Name: Scott, David Laurel PSY.D., LMFT
Phone: (805) 260-4676

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 28718 California

Profile Details

NPI number 1770008336
LBN Legal business name Cac Sierra Madre
DBA Doing business as
Authorized official Scott, David Laurel PSY.D., LMFT
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 4th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770008336 NPPES
California MEDICAID 1306048905

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