Healthcare Provider Details
I. General information
NPI: 1801698022
Provider Name (Legal Business Name): SALINAS VALLEY ONCOLOGY MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1069 LOS PALOS DR
SALINAS CA
93901-3916
US
IV. Provider business mailing address
24591 SILVER CLOUD CT STE 125
MONTEREY CA
93940-6542
US
V. Phone/Fax
- Phone: 831-758-2724
- Fax: 831-758-1531
- Phone: 831-920-1291
- Fax: 831-920-1318
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
EUGENE
SANDERS
Title or Position: MD
Credential: MD
Phone: 253-330-0353