Mountain Lake Medical Grp PC
Mountain Lake Medical Grp PC is a Primary Care Clinic/Center in Pollock Pines, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6156 Pony Express TrlPollock Pines, CA 95726-9649
Phone: (530) 644-6044
Fax: (530) 644-0125
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence G32582 (CA) |
|---|
Record details
| NPI number | 1588973788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Culver — Ceo/Physician · (530) 644-6044 |
| Other names | William Michael Culver Md |
| NPI enumerated | October 5, 2010 |
| Last updated in NPPES | February 16, 2012 |
| Mailing address | 6156 Pony Express Trl, Pollock Pines, CA 95726-9649 |