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Organization

SANTA LUCIA MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MARTHA ELIA CAMPBELL (OFFICE MANAGER)
(831) 754-4444
Entity
Organization

Contact information

Practice address
1336 NATIVIDAD RD, SALINAS, CA 93906-3138
(831) 754-4444
(831) 754-2763
Mailing address
1336 NATIVIDAD RD, SALINAS, CA 93906-3138
(831) 754-4444
(831) 754-2763

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
G45197
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952483232
NPI NUMBER
CA
Enumeration date
08/11/2015
Last updated
08/11/2015
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