| Cedar Family Practice | |
|
12700 Welch St Waterford CA 95386-8765 | |
| (209) 874-2345 | |
| (209) 874-3926 |
| Full Name | Cedar Family Practice |
|---|---|
| Speciality | General Practice |
| Location | 12700 Welch St, Waterford, California |
| Authorized Official Name and Position | Don Michael Endress (MD) |
| Authorized Official Contact | 2098742345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Family Practice 2416 Canasta Ct La Grange CA 95329-9633 Ph: (209) 874-2345 | Cedar Family Practice 12700 Welch St Waterford CA 95386-8765 Ph: (209) 874-2345 |
| NPI Number | 1326106501 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326106501 | NPI | - | NPPES |
| RHM03917G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A53357 (California) | Primary |
Krishnamoorthi M. D. Inc., A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 324 F St, Waterford, CA 95386 Phone: 209-874-2321 Fax: 209-874-3896 | |
Bentley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12619 Bentley St, Waterford, CA 95386 Phone: 209-442-6200 Fax: 209-394-9093 | |
Waterford Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12146 Yosemite Blvd, Waterford, CA 95386 Phone: 209-848-4138 Fax: 209-848-7008 |