Healthcare Provider Details

I. General information

NPI: 1962195230
Provider Name (Legal Business Name): COUNTY OF MONTEREY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 06/01/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD STE 301
SALINAS CA
93906-3134
US

IV. Provider business mailing address

1615 BUNKER HILL WAY STE 140
SALINAS CA
93906-6010
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4000
  • Fax:
Mailing address:
  • Phone: 831-796-1385
  • Fax:

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: SHEENA MORALES
Title or Position: MANAGEMENT ANALYST
Credential:
Phone: 831-796-1393