Provider Demographics
NPI:1144096256
Name:CITY OF SAN LUIS OBISPO
Entity type:Organization
Organization Name:CITY OF SAN LUIS OBISPO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUISNESS ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-781-7184
Mailing Address - Street 1:2160 SANTA BARBARA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-5240
Mailing Address - Country:US
Mailing Address - Phone:805-781-7380
Mailing Address - Fax:
Practice Address - Street 1:2160 SANTA BARBARA AVE
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-5240
Practice Address - Country:US
Practice Address - Phone:805-781-7380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF SAN LUIS OBISPO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport