Provider Demographics
NPI:1447915061
Name:MONTEREY BAY ORTHOPAEDIC SPECIALISTS INC
Entity type:Organization
Organization Name:MONTEREY BAY ORTHOPAEDIC SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SATOW
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:831-657-0111
Mailing Address - Street 1:1900 GARDEN RD STE 120
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5334
Mailing Address - Country:US
Mailing Address - Phone:831-657-0111
Mailing Address - Fax:831-656-1202
Practice Address - Street 1:1900 GARDEN RD STE 120
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5334
Practice Address - Country:US
Practice Address - Phone:831-657-0111
Practice Address - Fax:831-656-1202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty