Healthcare Provider Details

I. General information

NPI: 1740232644
Provider Name (Legal Business Name): COUNTY OF MONTEREY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD BLDG 400, SUITE 300
SALINAS CA
93906-3100
US

IV. Provider business mailing address

1441 SCHILLING PLACE SOUTH BLDG FLOOR 1
SALINAS CA
93901-4527
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4123
  • Fax:
Mailing address:
  • Phone: 831-796-1308
  • Fax: 831-757-0291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIA CLAIRE EDGCOMB
Title or Position: DIRECTOR/COO CLINIC SERVICES DIV.
Credential:
Phone: 831-796-1386