Healthcare Provider Details

I. General information

NPI: 1417372111
Provider Name (Legal Business Name): NATIVIDAD MEDICAL CENTER REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 03/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD
SALINAS CA
93906-3100
US

IV. Provider business mailing address

P.O. BOX 80007
SALINAS CA
93912-3195
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4242
  • Fax: 831-755-4087
Mailing address:
  • Phone: 831-755-4111
  • Fax: 831-755-4087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number StateCA

VIII. Authorized Official

Name: HARRY WEIS
Title or Position: CEO
Credential:
Phone: 831-755-4185