| El Dorado Iop | |
|
947 El Dorado Ave Santa Cruz CA 95062-2863 | |
| (831) 479-9494 | |
| (831) 479-9549 |
| Full Name | El Dorado Iop |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 947 El Dorado Ave, Santa Cruz, California |
| Authorized Official Name and Position | Kathryn Mintz (CFO) |
| Authorized Official Contact | 8314691700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado Iop 542 Ocean St Ste K Santa Cruz CA 95060-6622 Ph: (831) 459-0444 | El Dorado Iop 947 El Dorado Ave Santa Cruz CA 95062-2863 Ph: (831) 479-9494 |
| NPI Number | 1497078273 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497078273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 445200358 (California) | Primary |
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