| Ikigai Physician Group Inc | |
|
3429 Renner Dr Fortuna CA 95540-3104 | |
| (707) 726-2255 | |
| (707) 949-9715 |
| Full Name | Ikigai Physician Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3429 Renner Dr, Fortuna, California |
| Authorized Official Name and Position | Barbara Joan Sisson (ADMINISTRATOR) |
| Authorized Official Contact | 7077262255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikigai Physician Group Inc 1523 Main St Fortuna CA 95540-2430 Ph: (707) 726-2255 | Ikigai Physician Group Inc 3429 Renner Dr Fortuna CA 95540-3104 Ph: (707) 726-2255 |
| NPI Number | 1134179377 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134179377 | NPI | - | NPPES |
| GR0048520 | Medicaid | CA | |
| RHM053946F | Medicaid | CA | |
| RHM053945F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16812 (California) | Primary |
Ikigai Physician Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3429 Renner Dr, Fortuna, CA 95540 Phone: 707-726-2255 Fax: 707-949-9715 | |
Providence Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3302 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3318 | |
Ikigai Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3429 Renner Dr, Fortuna, CA 95540 Phone: 707-726-2255 Fax: 707-949-9715 | |
Redwoods Rural Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 S Fortuna Blvd, Fortuna, CA 95540 Phone: 707-353-2162 | |
Fortuna Family Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 874 Main St, Fortuna, CA 95540 Phone: 707-725-3334 Fax: 707-725-2455 | |
Fortuna Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2404 Newburg Rd, Fortuna, CA 95540 Phone: 707-725-3334 Fax: 707-725-2455 |