Lassen Medical Group

NPI 1013056910 - Family Medicine - 207Q00000X

NPI Details
NPI 1013056910
Enumeration Date 02/06/2007
Last Updated 10/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIM KIM
Position MANAGER
Phone (530) 824-9590
Fax
Practice Location
702 SOLANO STREET
CORNING CA, 96021, US
Phone (530) 824-9590
Fax
Business Location
2450 SISTER MARY COLUMBA DRIVE
RED BLUFF CA, 96080, US
Phone (530) 824-9590
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Lassen Medical Group NPI is 1013056910, taxonomy code is 207Q00000X Lassen Medical Group physically located at 702 Solano Street, Corning CA, 96021. NPI Number 1033115704 has the healthcare provider type.

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1013056910 NPI number is provided on an as is basis without warranty of any kind. 1013056910 is maintained by the National Plan & Provider Enumeration System. The contents of Lassen Medical Group are for informational purposes only.