| Southern Sierra Medical Clinic | |
|
105 E Sydnor Ave Ridgecrest CA 93555-5546 | |
| (760) 499-3900 | |
| Not Available |
| Full Name | Southern Sierra Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 E Sydnor Ave, Ridgecrest, California |
| Authorized Official Name and Position | James A Suver (CFO) |
| Authorized Official Contact | 7604993900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Sierra Medical Clinic 1081 N China Lake Blvd Ridgecrest CA 93555-3130 Ph: () - | Southern Sierra Medical Clinic 105 E Sydnor Ave Ridgecrest CA 93555-5546 Ph: (760) 499-3900 |
| NPI Number | 1679038434 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Medicare PECOS PAC ID | 9739099896 |
|---|---|
| Medicare Enrollment ID | O20190725002799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679038434 | NPI | - | NPPES |
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