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Organization
EXPERIENCE HEALTH CARE SERVICES
Active
Organization
EXPERIENCE HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T HALTER (PARTNER)
(925) 596-8824
Entity
Organization
Contact information
Practice address
2644 M ST, SUITE F, MERCED, CA 95340-2826
(925) 305-4996
Mailing address
2644 M ST, SUITE F, MERCED, CA 95340-2826
(925) 350-4996
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT2995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT2995
BOARD OF MEDICAL QUALITY ASSURANCE PHYSICAL THERAPY
CA
Enumeration date
04/30/2015
Last updated
04/30/2015
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