| Amitabha Medical Clinic | |
|
7064 Corline Ct Suite A Sebastopol CA 95472-4528 | |
| (707) 829-5900 | |
| (707) 829-5282 |
| Full Name | Amitabha Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 7064 Corline Ct, Sebastopol, California |
| Authorized Official Name and Position | Cheri Sue Quincy (CEO) |
| Authorized Official Contact | 7075424800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amitabha Medical Clinic 7064 Corline Ct Suite A Sebastopol CA 95472-4528 Ph: (707) 829-5900 | Amitabha Medical Clinic 7064 Corline Ct Suite A Sebastopol CA 95472-4528 Ph: (707) 829-5900 |
| NPI Number | 1821283987 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821283987 | NPI | - | NPPES |
| ZZZ13019Z | Other | PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A5137 (California) | Primary |
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