Provider Demographics
NPI:1356884571
Name:ARINA GANELES MD PC
Entity type:Organization
Organization Name:ARINA GANELES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GANELES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-920-3222
Mailing Address - Street 1:700 CASS ST
Mailing Address - Street 2:STE 128
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2916
Mailing Address - Country:US
Mailing Address - Phone:831-920-3222
Mailing Address - Fax:831-920-3245
Practice Address - Street 1:700 CASS ST
Practice Address - Street 2:STE 128
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2916
Practice Address - Country:US
Practice Address - Phone:831-920-3222
Practice Address - Fax:831-920-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-19
Last Update Date:2016-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77100261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1790739191OtherPERSONAL NPI