Healthcare Provider Details
I. General information
NPI: 1770904823
Provider Name (Legal Business Name): CONNECTIONS 365, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2013
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2511 GARDEN RD STE A225
MONTEREY CA
93940-8201
US
IV. Provider business mailing address
2511 GARDEN RD STE A225
MONTEREY CA
93940-8201
US
V. Phone/Fax
- Phone: 831-648-5000
- Fax:
- Phone: 831-648-5000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZD0900X |
| Taxonomy | Dermatopathology (Pathology) Physician |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
M
BARNARD
Title or Position: CME/ CEO
Credential: MD
Phone: 831-648-5000