| Nikom Udom Medical Clinic | |
|
145 Spruce St Gridley CA 95948-0947 | |
| (530) 846-3604 | |
| (530) 846-2108 |
| Full Name | Nikom Udom Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 145 Spruce St, Gridley, California |
| Authorized Official Name and Position | Nikom Udomphonkul (PRESIDENT) |
| Authorized Official Contact | 5308463604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikom Udom Medical Clinic Po Box 947 Gridley CA 95948-0947 Ph: (530) 846-3604 | Nikom Udom Medical Clinic 145 Spruce St Gridley CA 95948-0947 Ph: (530) 846-3604 |
| NPI Number | 1992922942 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992922942 | NPI | - | NPPES |
| 00A341940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A34194 (California) | Primary |
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Orchard Hospital Medical Specialty Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 284 Spruce St, Gridley, CA 95948 Phone: 530-846-9000 Fax: 530-846-9027 | |
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Orchard Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Spruce St, Gridley, CA 95948 Phone: 530-846-9000 Fax: 530-846-9027 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1548 Highway 99, Gridley, CA 95948 Phone: 530-844-5655 | |
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