| Mountain View Family Medical Group, Inc | |
|
2410 Sonoma St Suite 1 Redding CA 96001-3029 | |
| (530) 243-3339 | |
| (530) 243-3582 |
| Full Name | Mountain View Family Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2410 Sonoma St, Redding, California |
| Authorized Official Name and Position | James Mu (PRESIDENT) |
| Authorized Official Contact | 5302433339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Family Medical Group, Inc 2410 Sonoma St Ste 1 Redding CA 96001-3029 Ph: (530) 243-3339 | Mountain View Family Medical Group, Inc 2410 Sonoma St Suite 1 Redding CA 96001-3029 Ph: (530) 243-3339 |
| NPI Number | 1710925243 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/07/2019 |
| Medicare PECOS PAC ID | 9638146483 |
|---|---|
| Medicare Enrollment ID | O20040913000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710925243 | NPI | - | NPPES |
| GR0054520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Malinda Kay Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124190475 PECOS PAC ID: 8325069347 Enrollment ID: I20051216000769 |
| Provider Name | James Mu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700875572 PECOS PAC ID: 9931102514 Enrollment ID: I20080603000806 |
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