Healthcare Provider Details

I. General information

NPI: 1881678902
Provider Name (Legal Business Name): SALINAS VALLEY PRIMECARE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 05/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 ABBOTT ST 100
SALINAS CA
93901-4483
US

IV. Provider business mailing address

PO BOX 2360
SALINAS CA
93902-2360
US

V. Phone/Fax

Practice location:
  • Phone: 831-751-7070
  • Fax:
Mailing address:
  • Phone: 831-751-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBERT PATTON
Title or Position: PRESIDENT
Credential:
Phone: 831-242-8645