Healthcare Provider Details

I. General information

NPI: 1356394167
Provider Name (Legal Business Name): SALINAS VALLEY RADIOLOGISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 10/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 BRUNKEN AVE
SALINAS CA
93901-4374
US

IV. Provider business mailing address

945 S MAIN ST 201
SALINAS CA
93901-2400
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-3740
  • Fax: 831-751-6393
Mailing address:
  • Phone: 831-796-3740
  • Fax: 831-751-6393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES A KOWALSKI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 831-796-3740