| Full Circle Center For Integrative Medicine | |
|
4641 Valley East Blvd # 2 Arcata CA 95521-4630 | |
| (707) 840-4701 | |
| (855) 420-6321 |
| Full Name | Full Circle Center For Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4641 Valley East Blvd # 2, Arcata, California |
| Authorized Official Name and Position | Corinne Vivian Basch (OWNER) |
| Authorized Official Contact | 7078404701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Center For Integrative Medicine 4641 Valley East Blvd # 2 Arcata CA 95521-4630 Ph: (707) 840-4701 | Full Circle Center For Integrative Medicine 4641 Valley East Blvd # 2 Arcata CA 95521-4630 Ph: (707) 840-4701 |
| NPI Number | 1326195058 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 10/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326195058 | NPI | - | NPPES |
| GR0094550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A51185 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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