Dr Edward William Clinite, DO | |
680 Guzzi Ln, Suite 106, Sonora, CA 95370-5288 | |
(209) 532-2792 | |
Not Available |
Full Name | Dr Edward William Clinite |
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Gender | Male |
Speciality | Family Medicine |
Location | 680 Guzzi Ln, Sonora, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134109010 | NPI | - | NPPES |
00AX53200 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A5320 (California) | Primary |
Entity Name | Sonora Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910 |
Mailing Address | Practice Location Address |
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Dr Edward William Clinite, DO 680 Guzzi Ln, Suite 106, Sonora, CA 95370-5288 Ph: (209) 532-2792 | Dr Edward William Clinite, DO 680 Guzzi Ln, Suite 106, Sonora, CA 95370-5288 Ph: (209) 532-2792 |
Jack Leroy Stclair, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14540 Mono Way, Sonora, CA 95370 Phone: 209-743-7084 Fax: 209-928-5615 | |
Mathea S Salas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12791 Cabezut Rd, Sonora, CA 95370 Phone: 209-532-5524 Fax: 209-532-1513 | |
Dr. Michael Richard Portillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Ln Ste 106, Sonora, CA 95370 Phone: 209-536-5770 Fax: 209-536-3596 | |
Dr. Matthew Lincoln Personius, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 183 Fairview Ln, Suite A, Sonora, CA 95370 Phone: 209-532-4287 Fax: 209-532-4289 | |
Timothy D Hooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13951 Mono Way, Ste A, Sonora, CA 95370 Phone: 209-532-3370 Fax: 209-532-3340 | |
Dr. Stacey Lynne Hoffmann, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 183 Fairview Ln, Suite A/b, Sonora, CA 95370 Phone: 209-536-0600 Fax: 209-536-0604 |