San Joaquin Prime Care Medical Group Inc
San Joaquin Prime Care Medical Group Inc provides Family Medicine Physician services in Squaw Valley, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
30924 E Kings Canyon RdSquaw Valley, CA 93675-9601 Not confirmed with CMS for 11 years — call before visiting
Phone: (559) 332-9399
Fax: (559) 332-9499
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A43893 (CA) |
|---|
Record details
| NPI number | 1982891735 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Burgins — Billing Supervisor · (559) 783-1181 |
| NPI enumerated | September 26, 2007 |
| Last updated in NPPES | April 27, 2015 |
| Mailing address | 330 E Pine St, Exeter, CA 93221-1838 |
Other providers in Squaw Valley
-
Stefan Pentschev MD Medical Corporation
30926 E Kings Canyon Rd, Squaw Valley, CA 93675-9601 · (559) 332-1112