Michael Kudrna, CATC-III

NPI 1760937205 · on the registry since 2016 · sole proprietor

Practice

Address: 2180 Johnson Ave
San Luis Obispo, CA 93401
Phone: (805) 788-2159
Fax: (805) 781-4866
Organisation at this address: Good Samaritan Shelter
County Of San Luis Obispo
County Of San Luis Obispo
San Luis Obispo Campus Health
Crestwood Behavioral Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 181

Additional practice sites

1133 N H St, Lompoc, CA

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Sex: Male
Record last updated: 2021-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California