Healthcare Provider Details

I. General information

NPI: 1588830327
Provider Name (Legal Business Name): SALINAS ALLERGY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E SAN JOAQUIN ST
SALINAS CA
93901-2903
US

IV. Provider business mailing address

45 E SAN JOAQUIN ST
SALINAS CA
93901-2903
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-3300
  • Fax: 831-758-4094
Mailing address:
  • Phone: 831-424-3300
  • Fax: 831-758-4094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ADELINA HERNANDEZ
Title or Position: ACCOUNTS RECEIVABLE DIRECTOR
Credential: M.A.
Phone: 831-424-3300