Healthcare Provider Details
I. General information
NPI: 1407944119
Provider Name (Legal Business Name): BETH WHARTON MILFORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 AGUAJITO RD MONTEREY COUNTY BEHAVIORAL HEALTH
MONTEREY CA
93940-4887
US
IV. Provider business mailing address
1441 CONSTITUTION BOULEVARD BUILDING 400, SUITE 202
SALINAS CA
94906
US
V. Phone/Fax
- Phone: 714-625-2526
- Fax: 831-769-0552
- Phone: 714-625-2526
- Fax: 831-769-0552
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | G33280 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: