Provider Demographics
NPI:1962195230
Name:COUNTY OF MONTEREY
Entity type:Organization
Organization Name:COUNTY OF MONTEREY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-796-1393
Mailing Address - Street 1:1615 BUNKER HILL WAY STE 140
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-6010
Mailing Address - Country:US
Mailing Address - Phone:831-796-1385
Mailing Address - Fax:
Practice Address - Street 1:1441 CONSTITUTION BLVD STE 301
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3134
Practice Address - Country:US
Practice Address - Phone:831-755-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MONTEREY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty