| Laurel Internal Medicine | |
|
1441 Constitution Blvd Bldg 151 Suite 16 Salinas CA 93906-3100 | |
| (831) 769-8640 | |
| (831) 769-8632 |
| Full Name | Laurel Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1441 Constitution Blvd, 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 |
|---|---|
| Laurel Internal Medicine 1441 Schilling Place South Bldg Floor 1 Salinas CA 93901-4527 Ph: (831) 796-1308 | Laurel Internal Medicine 1441 Constitution Blvd Bldg 151 Suite 16 Salinas CA 93906-3100 Ph: (831) 769-8640 |
| NPI Number | 1043262959 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/01/2018 |
| Medicare PECOS PAC ID | 2466345632 |
|---|---|
| Medicare Enrollment ID | O20091016000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043262959 | NPI | - | NPPES |
| ZZZ02040Z | Other | CA | PTAN |
| FHC70124F | Medicaid | CA | |
| HAP70124F | Other | CA | FAMPACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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