| Philip L. Olkin, M.d. And C. Ray Jones, M.d. | |
|
3302 Renner Dr Fortuna CA 95540-3120 | |
| (707) 725-3318 | |
| (707) 725-9396 |
| Full Name | Philip L. Olkin, M.d. And C. Ray Jones, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 3302 Renner Dr, Fortuna, California |
| Authorized Official Name and Position | Mary Kathleen Moriarty (OFFICE MANAGER) |
| Authorized Official Contact | 7077253318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip L. Olkin, M.d. And C. Ray Jones, M.d. 3302 Renner Dr Po Box 835 Fortuna CA 95540-3120 Ph: (707) 725-3318 | Philip L. Olkin, M.d. And C. Ray Jones, M.d. 3302 Renner Dr Fortuna CA 95540-3120 Ph: (707) 725-3318 |
| NPI Number | 1699836981 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699836981 | NPI | - | NPPES |
| 00C429870 | Medicaid | CA | |
| RHM53808F | Medicaid | CA | |
| G32253 | Other | CA | DR OLKIN LIC # |
| C49287 | Other | CA | DR JONES LIC # |
| 00G322530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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