Organization
SANTA CRUZ COUNTY CCS
Active
Other names
DUNCAN HOLBERT MTU
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS DYBDAHL (SENIOR PROGRAM MANAGER)
(831) 763-8914
Entity
Organization
Contact information
Practice address
140 HERMAN AVE, WATSONVILLE, CA 95076-2920
(831) 688-8400
(831) 722-1114
Mailing address
1080 EMELINE AVE, SANTA CRUZ, CA 95060-1966
(831) 622-8400
(831) 761-6167
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCS00065F
—
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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