Provider Demographics
NPI:1538134309
Name:OWEN, JAMES PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:OWEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:243 ELDORADO ST.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2914
Mailing Address - Country:US
Mailing Address - Phone:831-233-3143
Mailing Address - Fax:831-233-3921
Practice Address - Street 1:243 ELDORADO ST.
Practice Address - Street 2:SUITE 200
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2914
Practice Address - Country:US
Practice Address - Phone:831-233-3143
Practice Address - Fax:831-233-3921
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2020-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC36913207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C361930Medicaid
CAZZZ22859ZMedicare ID - Type Unspecified
CA00C361930Medicaid