Ridge Medical Group Inc. | |
10565 Brunswick Rd Suite 1 Grass Valley CA 95945-9053 | |
(530) 272-0501 | |
(530) 272-0571 |
Full Name | Ridge Medical Group Inc. |
---|---|
Speciality | Family Medicine |
Location | 10565 Brunswick Rd, Grass Valley, California |
Authorized Official Name and Position | John C Jackson (MD) |
Authorized Official Contact | 5302720501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ridge Medical Group Inc. 10565 Brunswick Rd Suite 1 Grass Valley CA 95945-9053 Ph: (530) 272-0501 | Ridge Medical Group Inc. 10565 Brunswick Rd Suite 1 Grass Valley CA 95945-9053 Ph: (530) 272-0501 |
NPI Number | 1386700649 |
---|---|
Provider Enumeration Date | 12/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386700649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G37527 (California) | Primary |
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