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CALIFORNIA MEDICAL FACILITY

Ambulatory Health Care Facilities Clinic/Center Prison Health

Provider NPI: 1760536734

Organization Information:
Organization Name:  CALIFORNIA MEDICAL FACILITY
Authorized Official:  DEEPAK  MEHTA  PHYSICIAN AND SURGEON  707-448-6841

Practice Location:
1600 CALIFORNIA DR. CMF, AMBULATORY CARE CLINIC VACAVILLE, CA 95696 US
Tel: 707-448-6841  Fax: --

Business Mailing Address:
1600 CALIFORNIA DR. PO BOX NO. 2000 VACAVILLE, CA 95696 US
Tel: 707-448-6841  Fax: --

NPI Information:
NPI: 1760536734
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP2400XAmbulatory Health Care Facilities
Clinic/Center
Prison Health
CAA0063312

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QP2400X

Type:

Classification:



Definition:



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