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Organization
ST. JUNIPERO CLINIC, INC.
Active
Organization
ST. JUNIPERO CLINIC, INC.
Active
Other names
St. Junipero Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE DARMAWAN MD (PRESIDENT)
(831) 917-7737
Entity
Organization
Contact information
Practice address
333 ABBOTT ST STE C, SALINAS, CA 93901-4486
(831) 288-8811
(831) 288-8866
Mailing address
333 ABBOTT ST STE C, SALINAS, CA 93901-4486
(831) 288-8811
(831) 998-7809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A85492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176005001
—
CA
Enumeration date
12/04/2017
Last updated
09/23/2022
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