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101 N Palm St Woodlake CA 93286-1422 | |
(559) 564-1100 | |
(559) 564-1101 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 101 N Palm St, Woodlake, California |
Authorized Official Name and Position | Mario A Ochoa (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 5595641100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 N Palm St Woodlake CA 93286-1422 Ph: (559) 564-1100 | 101 N Palm St Woodlake CA 93286-1422 Ph: (559) 564-1100 |
NPI Number | 1386077857 |
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Provider Enumeration Date | 08/19/2013 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386077857 | NPI | - | NPPES |
6805241 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | A76417 (California) | Primary |