Healthcare Provider Details

I. General information

NPI: 1902805377
Provider Name (Legal Business Name): JAMES A KOWALSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 12/17/2007
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: 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 NumberG25918
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: