Peach Tree Healthcare
Peach Tree Healthcare is an Optometrist in Live Oak, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
9980 Live Oak BlvdLive Oak, CA 95953-2334
Phone: (530) 749-3242
Fax: (530) 749-3248
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
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence 550000248 (CA) |
|---|---|
| Optometrist | Taxonomy 152W00000X · Licence 14503TLG (CA) |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence C51576 (CA) |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence A93985 (CA) |
Record details
| NPI number | 1316096894 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greg Stone — Ceo · (530) 741-6245 |
| Other names | Live Oak Medical Clinic; Live Oak Medical Clinic |
| NPI enumerated | January 10, 2007 |
| Last updated in NPPES | May 23, 2022 |
| Certification date | May 23, 2022 |
| Mailing address | 1114 Yuba St Ste 220, Marysville, CA 95901-4838 |