Surgical Associates Of Monterey Bay Medical Corporation

LBN: Surgical Associates Of Monterey Bay Medical Corporation
Surgical Associates Of Monterey Bay Medical Corporation is an health care organization with primary practice located at 1668 Dominican Way , Santa Cruz CA 95065-1522. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Surgical Associates Of Monterey Bay Medical Corporation can be contacted via phone (831) 464-9962, or through Shoup, Jennifer via phone (831) 464-9962.

Contact Information

Primary practice address
1668 Dominican Way Santa Cruz CA 95065-1522
Phone: (831) 464-9962
Fax: (831) 464-9933
Website:
Map and Directions
Authorized official contact:
Name: Shoup, Jennifer
Phone: (831) 464-9962

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1003985037
LBN Legal business name Surgical Associates Of Monterey Bay Medical Corporation
DBA Doing business as
Authorized official Shoup, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 7th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003985037 NPPES
California MEDICAID GR0100250

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