Organization Name: | SALUD PARA LA GENTE |
NPI Number: | 1013388974 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY MCENTEE (CMO) |
Mailing Address: | 195 Aviation Way, Suite 200 Watsonville |
State: | CA US |
Postal Code: | 95076 |
Phone Number: | 8317288250 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2015 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | 95003025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |