MEDICARE: CARMEN DINORA PINA GALINDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	390200000X	Student in an Organized Health Care Education/Training Program		CA

General Provider Information

NPI Number	:	1710413380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN DINORA PINA GALINDO

Provider Business Mailing Address
First Line	:	1441 CONSTITUTION BLVD BLDG 400
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93906-3100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 NATIVIDAD RD
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93906-3122
Country	:	US
Telephone Number	:	831-796-1705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	06/09/2026

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