Rancho Cordova Community Clinic | |
2001 Zinfandel Dr Suite B-3 Rancho Cordova CA 95670-4265 | |
(916) 638-5572 | |
(916) 638-5538 |
Full Name | Rancho Cordova Community Clinic |
---|---|
Speciality | Family Medicine |
Location | 2001 Zinfandel Dr, Rancho Cordova, California |
Authorized Official Name and Position | Michael Perry Bass (MEDICAL DIRECTOR) |
Authorized Official Contact | 9166385572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rancho Cordova Community Clinic 2001 Zinfandel Dr Suite B-3 Rancho Cordova CA 95670-4265 Ph: (916) 638-5572 | Rancho Cordova Community Clinic 2001 Zinfandel Dr Suite B-3 Rancho Cordova CA 95670-4265 Ph: (916) 638-5572 |
NPI Number | 1659317295 |
---|---|
Provider Enumeration Date | 06/21/2006 |
Last Update Date | 07/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659317295 | NPI | - | NPPES |
C32503 | Other | CA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A29122 (California) | Primary |
207T00000X | Neurological Surgery | C32503 (California) | Secondary |
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› Verified 5 days ago
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