Gold Rush Inpatient Services, A Medical Corporation | |
768 Mountain Ranch Rd San Andreas CA 95249-9707 | |
(209) 754-3521 | |
Not Available |
Full Name | Gold Rush Inpatient Services, A Medical Corporation |
---|---|
Speciality | Internal Medicine |
Location | 768 Mountain Ranch Rd, San Andreas, California |
Authorized Official Name and Position | Angel L Iscovich (PRESIDENT) |
Authorized Official Contact | 4694012386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gold Rush Inpatient Services, A Medical Corporation 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (469) 401-2386 | Gold Rush Inpatient Services, A Medical Corporation 768 Mountain Ranch Rd San Andreas CA 95249-9707 Ph: (209) 754-3521 |
NPI Number | 1336427285 |
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Provider Enumeration Date | 07/26/2011 |
Last Update Date | 12/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336427285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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