1150 MAIN STREET INC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1912347261- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1150 MAIN ST STE 3, WATSONVILLE, CA, 950763760
- Phone
- (831) 728-0551
- Fax
- (831) 728-3679
Specialties & Taxonomies
Family Medicine
Primary License: CA #G56281