Healthcare Provider Details

I. General information

NPI: 1679421044
Provider Name (Legal Business Name): EUNOIA MEDISPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1564 CONSTITUTION BLVD
SALINAS CA
93905-3803
US

IV. Provider business mailing address

17662 WINDING CREEK RD
SALINAS CA
93908-1444
US

V. Phone/Fax

Practice location:
  • Phone: 831-293-9344
  • Fax:
Mailing address:
  • Phone: 831-210-8143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAMINDER GILL
Title or Position: PRESIDENT
Credential: PA-C
Phone: 831-210-8143