Healthcare Provider Details

I. General information

NPI: 1699807222
Provider Name (Legal Business Name): HEALTH DEPARTMENT OF MONTEREY COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 NATIVIDAD RD RM 200
SALINAS CA
93906-3122
US

IV. Provider business mailing address

1579 EL DORADO DR
SALINAS CA
93906-2514
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4510
  • Fax:
Mailing address:
  • Phone: 831-442-0351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MARIA GUADALUPE DEBERRY
Title or Position: BEHAVIORAL CASE AIDE
Credential: BA
Phone: 831-784-2121