Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LASSEN MEDICAL GROUP
Active
Organization
LASSEN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HAKE (MANAGER)
(530) 528-4419
Entity
Organization
Contact information
Practice address
702 SOLANO STREET, CORNING, CA 96021
(530) 824-9590
Mailing address
2450 SISTER MARY COLUMBA DRIVE, RED BLUFF, CA 96080
(530) 824-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089251
—
CA
05
—
RHM53956F
—
CA
Enumeration date
02/06/2007
Last updated
10/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up