Organization
SALUD PARA LA GENTE
Active
Organization
SALUD PARA LA GENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BALISTRERI (CHIEF EXECUTIVE OFFICER)
(831) 728-8250
Entity
Organization
Contact information
Practice address
45 NIELSON STREET, WATSONVILLE, CA 95076
(831) 761-1588
(831) 761-1677
Mailing address
PO BOX 1870, WATSONVILLE, CA 95077-1870
(831) 728-8250
(831) 786-9865
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
070000469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70835G
—
CA
01
—
HAP70835G
FAMILY PACT SPECIALTY PRO
CA
Enumeration date
08/06/2007
Last updated
02/05/2020
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