Pediatric & Adolescent Medical Assoc. Of The Pacific Coast

LBN: Pediatric & Adolescent Medical Assoc. Of The Pacific Coast
Pediatric & Adolescent Medical Assoc. Of The Pacific Coast is an health care organization with primary practice located at 260 San Jose St , Salinas CA 93901-3901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric & Adolescent Medical Assoc. Of The Pacific Coast can be contacted via phone (831) 757-8124, or through Kellough, Connie K. via phone (831) 757-8124.

Contact Information

Primary practice address
260 San Jose St Salinas CA 93901-3901
Phone: (831) 757-8124
Fax: (731) 757-4790
Website:
Map and Directions
Authorized official contact:
Name: Kellough, Connie K.
Phone: (831) 757-8124

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1992899942
LBN Legal business name Pediatric & Adolescent Medical Assoc. Of The Pacific Coast
DBA Doing business as
Authorized official Kellough, Connie K.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992899942 NPPES
California MEDICAID GR009600

Popular Providers