| Redwood Medical Offices | |
|
1240 Marshall St Crescent City CA 95531 | |
| (707) 465-5566 | |
| Not Available |
| Full Name | Redwood Medical Offices |
|---|---|
| Speciality | Clinic/Center |
| Location | 1240 Marshall St, Crescent City, California |
| Authorized Official Name and Position | Monica Arlene Sperling (PRACTICE MANAGER) |
| Authorized Official Contact | 7074655566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Medical Offices 1240 Marshall St Crescent City CA 95531 Ph: (707) 465-5566 | Redwood Medical Offices 1240 Marshall St Crescent City CA 95531 Ph: (707) 465-5566 |
| NPI Number | 1023181971 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 4284676263 |
|---|---|
| Medicare Enrollment ID | O20050531001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023181971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G42767 (California) | Primary |
| Provider Name | Donna M Sund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407930076 PECOS PAC ID: 4880622984 Enrollment ID: I20050729001027 |
| Provider Name | Kevin J Caldwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316928104 PECOS PAC ID: 7719058825 Enrollment ID: I20080617000808 |
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