| Owens Peak Medical Clinic Inc | |
|
1131 N China Lake Blvd Ridgecrest CA 93555-3131 | |
| (760) 375-0100 | |
| (760) 375-0110 |
| Full Name | Owens Peak Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1131 N China Lake Blvd, Ridgecrest, California |
| Authorized Official Name and Position | Francina Van Dongen (CFO) |
| Authorized Official Contact | 7603750100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owens Peak Medical Clinic Inc Po Box 99 Ridgecrest CA 93556-0099 Ph: (760) 375-0100 | Owens Peak Medical Clinic Inc 1131 N China Lake Blvd Ridgecrest CA 93555-3131 Ph: (760) 375-0100 |
| NPI Number | 1306819768 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306819768 | NPI | - | NPPES |
| 00A40869 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A40869 (California) | Primary |
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