Martha'S Place

LBN: County Of San Luis Obispo
Martha'S Place is an health care organization with primary practice located at 2925 Mcmillan Ave Ste 108 , San Luis Obispo CA 93401-6765. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. County Of San Luis Obispo can be contacted via phone (805) 781-4700, or through Ilano, M. Daisy via phone (805) 781-4700.

Contact Information

Primary practice address
2925 Mcmillan Ave Ste 108 San Luis Obispo CA 93401-6765
Phone: (805) 781-4700
Fax: (805) 781-1273
Website:
Map and Directions
Authorized official contact:
Name: Ilano, M. Daisy Doctor of Medicine (MD)
Phone: (805) 781-4700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1295059368
LBN Legal business name County Of San Luis Obispo
DBA Doing business as Martha'S Place
Authorized official Ilano, M. Daisy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2010
Last updated Aug 22nd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295059368 NPPES
California MEDICAID 4083

Popular Providers