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Organization
MONTEREY BAY HEART CENTER
Active
Organization
MONTEREY BAY HEART CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN N POTKIN M.D. (CEO)
(831) 479-9500
Entity
Organization
Contact information
Practice address
1595 SOQUEL DR STE 360, SANTA CRUZ, CA 95065-1723
(831) 479-9500
Mailing address
1595 SOQUEL DR STE 360, SANTA CRUZ, CA 95065-1723
(831) 479-9500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G55040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071630
—
CA
Enumeration date
04/04/2007
Last updated
06/13/2024
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