Healthcare Provider Details
I. General information
NPI: 1114982741
Provider Name (Legal Business Name): SALINAS VALLEY RADIOLOGISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 CANAL ST
KING CITY CA
93930-3431
US
IV. Provider business mailing address
627 BRUNKEN AVE SUITE A
SALINAS CA
93901-5002
US
V. Phone/Fax
- Phone: 831-385-7130
- Fax:
- Phone: 831-796-3740
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
A
KOWALSKI
Title or Position: LEAD RADIOLOGIST
Credential: M.D.
Phone: 831-775-5200