North Valley Breast Clinic in Redding - Medical Specialty
North Valley Breast Clinic - NPI 1841494366
North Valley Breast Clinic is a Medical Specialty in Redding, California. North Valley Breast Clinic practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for North Valley Breast Clinic is 1841494366. The last update date is 2012-07-16.
North Valley Breast Clinic's current location address is 1335 Buenaventura Blvd, Redding, California. You can contact this provider via phone number 5302435551 and fax number 5302450572. The mailing address for North Valley Breast Clinic is 1335 Buenaventura Blvd, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Valley Breast Clinic |
|---|---|
| Address | 1335 Buenaventura Blvd, Redding, California |
| Phone Number | 5302435551 |
| Fax Number | 5302450572 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Grady P Ian |
| Credentials | MD |
| Telephone Number | 5302435551 |
NPI Number Detail
| NPI Number | 1841494366 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2012-07-16 |
Provider Mailing Address Detail
| Address | 1335 Buenaventura Blvd |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960010160 |
| Phone Number | 5302435551 |
| Fax Number | 5302450572 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ53955Y | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to North Valley Breast Clinic by the Centers for Medicare & Medicaid Services?
The North Valley Breast Clinic has been issued the NPI (National Provider Identifier) 1841494366 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of North Valley Breast Clinic?
The North Valley Breast Clinic is situated at 1335 Buenaventura Blvd, in the city of Redding, state of CA, with the zip code 960010160.
What is the North Valley Breast Clinic's area of specialization and corresponding taxonomy classification?
The North Valley Breast Clinic's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1841494366 to North Valley Breast Clinic?
The North Valley Breast Clinic received its 1841494366 assignment from the Centers for Medicare & Medicaid Services on 2007-06-11.
When was the information related to North Valley Breast Clinic most recently updated or refreshed?
The details pertaining to the North Valley Breast Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-16.