Healthcare Provider Details

I. General information

NPI: 1396047262
Provider Name (Legal Business Name): NOEL ORNELAS TEIXEIRA MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS NOEL MARIA ORNELAS

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 CHURCH ST
SALINAS CA
93901-2632
US

IV. Provider business mailing address

130 CHURCH ST
SALINAS CA
93901-2632
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-8155
  • Fax: 831-422-9411
Mailing address:
  • Phone: 831-755-8155
  • Fax: 831-422-9411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: