Henry Go Md Inc | |
11733 Highway 160 Courtland CA 95615-0338 | |
(916) 775-1711 | |
(916) 775-2307 |
Full Name | Henry Go Md Inc |
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Speciality | Family Medicine |
Location | 11733 Highway 160, Courtland, California |
Authorized Official Name and Position | Henry Go (PRESIDENT) |
Authorized Official Contact | 9167751711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Henry Go Md Inc Po Box 338 Courtland CA 95615-0338 Ph: (916) 775-1711 | Henry Go Md Inc 11733 Highway 160 Courtland CA 95615-0338 Ph: (916) 775-1711 |
NPI Number | 1932320926 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 06/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932320926 | NPI | - | NPPES |
00A191200 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00A191200 (California) | Primary |