| Mt Mesa Medical Group | |
|
4308 Birch Street Lake Isabella CA 93240 | |
| (760) 379-2426 | |
| (760) 379-2664 |
| Full Name | Mt Mesa Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 4308 Birch Street, Lake Isabella, California |
| Authorized Official Name and Position | Jaime S. Lee Ho (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 7603792426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Mesa Medical Group Po Box 1898 4308 Birch Street Lake Isabella CA 93240-1898 Ph: (760) 379-2426 | Mt Mesa Medical Group 4308 Birch Street Lake Isabella CA 93240 Ph: (760) 379-2426 |
| NPI Number | 1629081997 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629081997 | NPI | - | NPPES |
| GR0022310 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G43717 (California) | Secondary |
| 208D00000X | General Practice | A24547 (California) | Primary |
Sienna Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6425 Lynch Cyn Blvd, Lake Isabella, CA 93240 Phone: 760-379-8630 Fax: 760-379-7658 | |
Mesa Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2810 Nugget Ave, Lake Isabella, CA 93240 Phone: 760-379-3425 | |
Sienna Wellnes Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 Lynch Canyon Dr, Lake Isabella, CA 93240 Phone: 760-379-8630 Fax: 760-379-7658 | |
Kern Valley Healthcare District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4300 Birch Street, Lake Isabella, CA 93240 Phone: 760-379-1791 Fax: 760-379-1793 |