Organization
CENTRAL COAST ALLERGY AND ASTHMA
Active
Other names
Salinas Allergy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ELISSA SMOTHERMAN (CREDENTIALING LIAISON)
(775) 674-5668
Entity
Organization
Contact information
Practice address
45 E SAN JOAQUIN ST, SALINAS, CA 93901-2903
(831) 424-3300
(831) 758-4094
Mailing address
45 E SAN JOAQUIN ST, SALINAS, CA 93901-2903
(831) 424-3300
(831) 758-4094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071130
—
CA
Enumeration date
12/09/2006
Last updated
12/10/2014
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