=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679421044
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EUNOIA MEDISPA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2026
-----------------------------------------------------
Last Update Date | 03/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1564 CONSTITUTION BLVD
-----------------------------------------------------
City | SALINAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93905-3803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-293-9344
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17662 WINDING CREEK RD
-----------------------------------------------------
City | SALINAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93908-1444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-210-8143
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SHAMINDER GILL
-----------------------------------------------------
Credential | PA-C
-----------------------------------------------------
Telephone | 831-210-8143
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------