| Truckee Tahoe Medical Group | |
|
925 N Lake Blvd Tahoe City CA 96145 | |
| (530) 581-8864 | |
| Not Available |
| Full Name | Truckee Tahoe Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 925 N Lake Blvd, Tahoe City, California |
| Authorized Official Name and Position | Niki Holoday (MANAGER) |
| Authorized Official Contact | 5305818864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Truckee Tahoe Medical Group 10115 W River St Truckee CA 96161-0324 Ph: () - | Truckee Tahoe Medical Group 925 N Lake Blvd Tahoe City CA 96145 Ph: (530) 581-8864 |
| NPI Number | 1659692556 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659692556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A68375 (California) | Primary |
Planned Parenthood Mar Monte, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3190 Fabian Way, Suite A, Tahoe City, CA 96145 Phone: 530-581-6140 Fax: 530-581-3128 |