Northern California Medical Assoc Inc in Mendocino - Cardiovascular Disease

Northern California Medical Assoc Inc - NPI 1982603577

Northern California Medical Assoc Inc is a Cardiovascular Disease in Mendocino, California. Northern California Medical Assoc Inc practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Northern California Medical Assoc Inc is 1982603577. The last update date is 2012-02-09.

Northern California Medical Assoc Inc's current location address is 45081 Little Lake St, Mendocino, California. You can contact this provider via phone number 7075736166 and fax number 7075736165. The mailing address for Northern California Medical Assoc Inc is 45081 Little Lake St, Mendocino, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northern California Medical Assoc Inc
Address 45081 Little Lake St, Mendocino, California
Phone Number 7075736166
Fax Number 7075736165
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Skidmore Ann Ruth
Telephone Number 7075736925

NPI Number Detail

NPI Number 1982603577
Provider Enumeration Date 2005-07-18
Last Updated Date 2012-02-09

Provider Mailing Address Detail

Address 45081 Little Lake St
City Mendocino
State California (CA)
Post Code 954600
Phone Number 7075736166
Fax Number 7075736165

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ01805Z CA BLUE SHIELD OF CALIFORNIA
GR0001736 CA --

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FAQs about Northern California Medical Assoc Inc

What is the unique 10-digit identifier code issued to Northern California Medical Assoc Inc by the Centers for Medicare & Medicaid Services?

The Northern California Medical Assoc Inc has been assigned the NPI (National Provider Identifier) 1982603577 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Northern California Medical Assoc Inc is physically located?

The Northern California Medical Assoc Inc is situated at the following address: 45081 Little Lake St, Mendocino, CA 954600.

What is Northern California Medical Assoc Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Northern California Medical Assoc Inc is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.

When was the Northern California Medical Assoc Inc's 1982603577 issued?

The Northern California Medical Assoc Inc's 1982603577 was issued on 2005-07-18.

As of what date were the details related to Northern California Medical Assoc Inc most recently updated or revised?

The information pertaining to Northern California Medical Assoc Inc, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-09.

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