| Csoc Fast | |
|
1000 S Main Street Suite 105/210b/311 Salinas CA 93901-2352 | |
| (831) 784-2100 | |
| (831) 784-2127 |
| Full Name | Csoc Fast |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1000 S Main Street, Salinas, California |
| Authorized Official Name and Position | Avamasag Semo (MEDICAL RECORDS) |
| Authorized Official Contact | 8317554545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csoc Fast 1611 Bunker Hill Way Ste 120 Salinas CA 93906-6006 Ph: (831) 755-4545 | Csoc Fast 1000 S Main Street Suite 105/210b/311 Salinas CA 93901-2352 Ph: (831) 784-2100 |
| NPI Number | 1073645586 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073645586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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