Provider Demographics
NPI:1417662818
Name:MONTEREY INTEGRATED THERAPIES
Entity Type:Organization
Organization Name:MONTEREY INTEGRATED THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-238-0111
Mailing Address - Street 1:26619 CARMEL CENTER PLACE. SUITE 201
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923
Mailing Address - Country:US
Mailing Address - Phone:831-238-0111
Mailing Address - Fax:831-298-7364
Practice Address - Street 1:26619 CARMEL CENTER PLACE. SUITE 201
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923
Practice Address - Country:US
Practice Address - Phone:831-238-0111
Practice Address - Fax:831-298-7364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty