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82820 Trona Rd Trona CA 93562-1929 | |
(760) 446-3551 | |
(760) 446-2254 |
Full Name | |
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Speciality | Clinic/Center |
Location | 82820 Trona Rd, Trona, California |
Authorized Official Name and Position | James Suver (CEO) |
Authorized Official Contact | 7604993902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1081 N China Lake Blvd Ridgecrest CA 93555-3130 Ph: (760) 446-3551 | 82820 Trona Rd Trona CA 93562-1929 Ph: (760) 446-3551 |
NPI Number | 1720352685 |
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Provider Enumeration Date | 02/23/2012 |
Last Update Date | 04/13/2022 |
Medicare PECOS PAC ID | 9739099896 |
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Medicare Enrollment ID | O20131031000359 |
Identifier | Type | State | Issuer |
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1720352685 | NPI | - | NPPES |