# COUNTY OF MONTEREY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONTEREY COUNTY HEALTH DEPARTMENT
- **Other names:** Monterey County Health Clinic at Marina
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588617955
- **Legal business name:** MONTEREY COUNTY HEALTH DEPARTMENT
- **Authorized official:** JULIA CLAIRE EDGCOMB (DIRECTOR/COO CLINIC SERVICES DIV.)
- **Authorized official phone:** (831) 796-1386

## Contact information

- **Practice address:** 3155 DE FOREST RD., MARINA, CA 93933-2702
- **Practice address phone:** (831) 384-1445
- **Practice address fax:** (831) 384-1454
- **Mailing address:** 1441 SCHILLING PLACE, SOUTH BLDG FLOOR 1, SALINAS, CA 93901-4527
- **Mailing address phone:** (831) 796-1308
- **Mailing address fax:** (831) 757-0291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 06/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BCP70530F | BCEDP | CA |
| 05 | — | BCP70655F | — | CA |
| 05 | — | FHC70655F | — | CA |
| 05 | — | HAP70655F | — | CA |
| 01 | — | ZZZ02040Z | PTAN | CA |