Organization
SUSAN M KUBICA MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M KUBICA MD (PHYSICIAN)
(831) 372-1188
Entity
Organization
Contact information
Practice address
1000 8TH ST, SUITE 101, MONTEREY, CA 93940-3664
(831) 372-1188
(831) 372-1181
Mailing address
1000 8TH ST, SUITE 101, MONTEREY, CA 93940-3664
(831) 372-1188
(831) 372-1181
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05146Z
MEDICARE PROVIDER
CA
Enumeration date
04/09/2007
Last updated
11/27/2007
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