| Andre Van Mol Md | |
|
3580 Santa Rosa Way Redding CA 96003 | |
| (530) 222-3225 | |
| (530) 222-1219 |
| Full Name | Andre Van Mol Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3580 Santa Rosa Way, Redding, California |
| Authorized Official Name and Position | Andre Van Mol (OWNER) |
| Authorized Official Contact | 5302223225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Van Mol Md 3580 Santa Rosa Way Redding CA 96003 Ph: (530) 222-3225 | Andre Van Mol Md 3580 Santa Rosa Way Redding CA 96003 Ph: (530) 222-3225 |
| NPI Number | 1881753382 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 04/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881753382 | NPI | - | NPPES |
| G62379 | Other | CA | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G62379 (California) | Primary |
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