San Joaquin Prime Care Medical Group Inc
San Joaquin Prime Care Medical Group Inc is a Family Medicine Physician 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
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