Healthcare Provider Details

I. General information

NPI: 1114424520
Provider Name (Legal Business Name): SALINAS VALLEY FOOT & ANKLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HARDEN PKWY STE 101
SALINAS CA
93906-5257
US

IV. Provider business mailing address

110 HARDEN PKWY STE 101
SALINAS CA
93906-5257
US

V. Phone/Fax

Practice location:
  • Phone: 831-443-6050
  • Fax: 831-443-6054
Mailing address:
  • Phone: 831-443-6050
  • Fax: 831-443-6054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DAVID C. ABDOO
Title or Position: PRESIDENT
Credential: DPM
Phone: 831-443-6050