Bienestar | |
1441 Constitution Blvd Bldg 400 Suite 201 Salinas CA 93906-3100 | |
(831) 796-1386 | |
Not Available |
Full Name | Bienestar |
---|---|
Speciality | Family Medicine |
Location | 1441 Constitution Blvd Bldg 400, Salinas, California |
Authorized Official Name and Position | Julia Claire Edgcomb (DIRECTOR/COO CLINIC SERVICES DIV.) |
Authorized Official Contact | 8317961386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bienestar 1441 Schilling Place South Bldg Floor 1 Salinas CA 93901-4527 Ph: (831) 796-1308 | Bienestar 1441 Constitution Blvd Bldg 400 Suite 201 Salinas CA 93906-3100 Ph: (831) 796-1386 |
NPI Number | 1376956268 |
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Provider Enumeration Date | 06/09/2014 |
Last Update Date | 05/01/2018 |
Medicare PECOS PAC ID | 2466345632 |
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Medicare Enrollment ID | O20141029002592 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376956268 | NPI | - | NPPES |
ZZZ02040Z | Other | CA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
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