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220 W Main St Santa Paula CA 93060-3247 | |
| (805) 680-9737 | |
| (805) 933-8192 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 220 W Main St, Santa Paula, California |
| Authorized Official Name and Position | Scott Schultz (DIRECTOR) |
| Authorized Official Contact | 8055256621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
590 W Main St 248 Santa Paula CA 93060-3209 Ph: (805) 680-9737 | 220 W Main St Santa Paula CA 93060-3247 Ph: (805) 680-9737 |
| NPI Number | 1073668158 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073668158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gary D Wikholm, Md A Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 247 W Harvard Blvd, Santa Paula, CA 93060 Phone: 805-525-0907 Fax: 805-933-3392 | |
Westside Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Santa Barbara St, Suite A, Santa Paula, CA 93060 Phone: 805-525-2121 Fax: 805-525-3652 | |
Glen City Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 247 March St, Santa Paula, CA 93060 Phone: 805-933-6622 Fax: 806-933-6629 | |