| Lassen Medical Group | |
|
702 Solano Street Corning CA 96021 | |
| (530) 824-9590 | |
| Not Available |
| Full Name | Lassen Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 702 Solano Street, Corning, California |
| Authorized Official Name and Position | Kim Hake (MANAGER) |
| Authorized Official Contact | 5305284419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lassen Medical Group 2450 Sister Mary Columba Drive Red Bluff CA 96080 Ph: (530) 824-9590 | Lassen Medical Group 702 Solano Street Corning CA 96021 Ph: (530) 824-9590 |
| NPI Number | 1013056910 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 10/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013056910 | NPI | - | NPPES |
| GR0089251 | Medicaid | CA | |
| RHM53956F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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