Organization Name: | PINNACLE HEALTHCARE MEDICAL GROUP-WATSONVILLE, INC. |
NPI Number: | 1134411549 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERNESTO M. ALVERO (C.E.O.) |
Mailing Address: | 1820 Main St Watsonville |
State: | CA US |
Postal Code: | 950763092 |
Phone Number: | 8317574444 |
Fax Number: | 8317574419 |
NPI Enumeration Date: | 05/04/2011 |
NPI Last Update Date: | 05/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |