| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1172 S. Main St., Salinas, California |
| Authorized Official Name and Position | Sheilaja Mittal (MEDICAL DIRECTOR/OWNER, PHYSICIAN) |
| Authorized Official Contact | 8315335353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1172 S. Main St. #380 Salinas CA 93901-2204 Ph: (831) 553-5353 | 1172 S. Main St. Salinas CA 93901 Ph: (831) 422-3701 |
| NPI Number | 1164610325 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 08/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164610325 | NPI | - | NPPES |
| 00A765690 | Medicaid | CA | |
| 105990300 | Other | CA | DEPT OF LABOR |
| 11372513 | Other | CAQH |
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