| Diabetes Care Center | |
|
1260 S Main St Suite 202 Salinas CA 93901-2288 | |
| (831) 769-9355 | |
| (831) 754-4955 |
| Full Name | Diabetes Care Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1260 S Main St, Salinas, California |
| Authorized Official Name and Position | Rick Gomez (ADMINISTRATOR) |
| Authorized Official Contact | 8317699355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Care Center 1260 S Main St Suite 202 Salinas CA 93901-2288 Ph: (831) 769-9355 | Diabetes Care Center 1260 S Main St Suite 202 Salinas CA 93901-2288 Ph: (831) 769-9355 |
| NPI Number | 1396727624 |
|---|---|
| Provider Enumeration Date | 11/14/2005 |
| Last Update Date | 12/13/2016 |
| Medicare PECOS PAC ID | 7214992593 |
|---|---|
| Medicare Enrollment ID | O20041129000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396727624 | NPI | - | NPPES |
| ZZZ65061Z | Other | CA | BLUE SHIELD GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Allen B King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649253048 PECOS PAC ID: 4981862570 Enrollment ID: I20120229000289 |
| Provider Name | Yolanta Kruszynska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447232996 PECOS PAC ID: 5890954614 Enrollment ID: I20120313000857 |
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