Organization
HARBOR MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI L PIUMARTA (OFFICE MANAGER)
(831) 476-7676
Entity
Organization
Contact information
Practice address
1661 SOQUEL DR, BUILDING A, SANTA CRUZ, CA 95065-1709
(831) 476-7676
Mailing address
1661 SOQUEL DR, BLDG A, SANTA CRUZ, CA 95065-1709
(831) 476-7676
(831) 476-4824
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ45000Z
—
CA
Enumeration date
01/18/2007
Last updated
03/23/2011
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