Healthcare Provider Details

I. General information

NPI: 1023073657
Provider Name (Legal Business Name): SALINAS VALLEY IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 ABBOTT ST
SALINAS CA
93901-4325
US

IV. Provider business mailing address

627 BRUNKEN AVE SUITE A
SALINAS CA
93901-5002
US

V. Phone/Fax

Practice location:
  • Phone: 831-775-5200
  • Fax:
Mailing address:
  • Phone: 831-796-3740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES A KOWALSKI
Title or Position: LEAD RADIOLOGIST
Credential: M.D.
Phone: 831-775-5200