| El Dorado County Health Department | |
|
1360 Johnson Blvd Suite 103 South Lake Tahoe CA 96150-8220 | |
| (530) 573-3156 | |
| Not Available |
| Full Name | El Dorado County Health Department |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1360 Johnson Blvd, South Lake Tahoe, California |
| Authorized Official Name and Position | Adriana Salas Rodriguez (COMMUNITY HEALTH WORKER) |
| Authorized Official Contact | 5305733156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado County Health Department 1360 Johnson Blvd Suite 103 South Lake Tahoe CA 96150-8220 Ph: () - | El Dorado County Health Department 1360 Johnson Blvd Suite 103 South Lake Tahoe CA 96150-8220 Ph: (530) 573-3156 |
| NPI Number | 1437278850 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437278850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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