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13975 Mono Way Ste G Sonora CA 95370-2824 | |
(209) 533-9600 | |
(209) 533-9608 |
Full Name | |
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Speciality | Clinic/Center |
Location | 13975 Mono Way Ste G, Sonora, California |
Authorized Official Name and Position | John Alexander (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2097546262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 939 Angels Camp CA 95222-0939 Ph: (209) 754-6262 | 13975 Mono Way Ste G Sonora CA 95370-2824 Ph: (209) 533-9600 |
NPI Number | 1467444364 |
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Provider Enumeration Date | 08/17/2005 |
Last Update Date | 12/02/2024 |
Medicare PECOS PAC ID | 8325936974 |
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Medicare Enrollment ID | O20170324000920 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467444364 | NPI | - | NPPES |
THP70875F | Medicaid | CA |
Sonora Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13951 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-3370 Fax: 209-532-3340 | |
Kathy Bosch Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19515 Village Dr, Ste B, Sonora, CA 95370 Phone: 209-533-4330 Fax: 509-532-5374 | |
William E. Zachow, D.o. Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370 Phone: 602-790-4221 | |