| Marysville Clinic | |
|
527 E St Marysville CA 95901-5529 | |
| (530) 743-5300 | |
| (530) 743-2699 |
| Full Name | Marysville Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 527 E St, Marysville, California |
| Authorized Official Name and Position | Sanjiv Kumar Midha (SECRETORY) |
| Authorized Official Contact | 5306742100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marysville Clinic 1215 Plumas St Ste 1900 Yuba City CA 95991-3455 Ph: (530) 674-2100 | Marysville Clinic 527 E St Marysville CA 95901-5529 Ph: (530) 743-5300 |
| NPI Number | 1730497421 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 11/14/2019 |
| Medicare PECOS PAC ID | 1658551064 |
|---|---|
| Medicare Enrollment ID | O20110202000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730497421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A46605 (California) | Primary |
| 207R00000X | Internal Medicine | A51440 (California) | Secondary |
| 208000000X | Pediatrics | A70328 (California) | Secondary |
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