| Huppenbauer & Rangel Md | |
|
3304 Renner Drive Fortuna CA 95540 | |
| (707) 725-4477 | |
| (707) 725-9209 |
| Full Name | Huppenbauer & Rangel Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 3304 Renner Drive, Fortuna, California |
| Authorized Official Name and Position | Theresa Ann Sisson (OFFICE MANAGER) |
| Authorized Official Contact | 7077254477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huppenbauer & Rangel Md 3304 Renner Drive Fortuna CA 95540 Ph: (707) 725-4477 | Huppenbauer & Rangel Md 3304 Renner Drive Fortuna CA 95540 Ph: (707) 725-4477 |
| NPI Number | 1740246669 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740246669 | NPI | - | NPPES |
| GR0042050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A045693 (California) | Primary |
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