| |
9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097 | |
(831) 708-1400 | |
(831) 708-1390 |
Full Name | |
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Speciality | Family Medicine |
Location | 9000 Soquel Ave Ste 100, Santa Cruz, California |
Authorized Official Name and Position | Jeannine Marie Rodems (CEO) |
Authorized Official Contact | 8317081400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097 Ph: (831) 708-1400 | 9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097 Ph: (831) 708-1400 |
NPI Number | 1003397381 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 08/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003397381 | NPI | - | NPPES |
1063587376 | Medicaid | CA | |
1376646463 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G81126 (California) | Primary |
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