Mountain Meadows Medical Group of California, Inc
Mountain Meadows Medical Group of California, Inc is an Obstetrics & Gynecology Physician in S Lake Tahoe, 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
1067 4th StS Lake Tahoe, CA 96150-3459
Phone: (530) 543-5710
Fax: (530) 542-1455
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 207V00000X (CA) |
|---|
Record details
| NPI number | 1972630432 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kris Kobalter — Vice President · (530) 543-5710 |
| Other names | Tahoe Women'S Care |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | September 19, 2012 |
| Mailing address | 1067 4th St, S Lake Tahoe, CA 96150-3459 |