| Michael J Ricci Md A Prof Corp | |
|
774 East Ave Chico CA 95926-1253 | |
| (530) 894-0311 | |
| (530) 894-5525 |
| Full Name | Michael J Ricci Md A Prof Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 774 East Ave, Chico, California |
| Authorized Official Name and Position | Michael J Ricci (CEO) |
| Authorized Official Contact | 5308940311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Ricci Md A Prof Corp 774 East Ave Chico CA 95926-1253 Ph: (530) 894-0311 | Michael J Ricci Md A Prof Corp 774 East Ave Chico CA 95926-1253 Ph: (530) 894-0311 |
| NPI Number | 1083849061 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083849061 | NPI | - | NPPES |
| 1083849061 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G22485 (California) | Primary |
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