Healthcare Provider Details

I. General information

NPI: 1013359991
Provider Name (Legal Business Name): APTOS DOCTORS ON DUTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 SOQUEL DR
APTOS CA
95003-3225
US

IV. Provider business mailing address

100 WILSON RD 100
MONTEREY CA
93940-7885
US

V. Phone/Fax

Practice location:
  • Phone: 831-662-3611
  • Fax:
Mailing address:
  • Phone: 831-649-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MCMILLAN
Title or Position: CEO
Credential:
Phone: 831-649-1000