| |
6283 Clark Rd, #10, Paradise, CA 95969-4100 | |
(530) 877-2020 | |
(530) 877-4641 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 6283 Clark Rd, Paradise, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578584769 | NPI | - | NPPES |
ZZZ22165Z | Other | CA | BLUE CROSS |
ZZZ22165Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
6283 Clark Rd, #10, Paradise, CA 95969-4100 Ph: (530) 877-2020 | 6283 Clark Rd, #10, Paradise, CA 95969-4100 Ph: (530) 877-2020 |