# SISKIYOU EYE CENTER, MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Siskiyou Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144224577
- **Authorized official:** MS. BELMIRA PARDAL BORG (ADMINISTRATOR)
- **Authorized official phone:** (530) 842-2760

## Contact information

- **Practice address:** 2524 WESTSIDE RD, YREKA, CA 96097-9129
- **Practice address phone:** (530) 842-2760
- **Practice address fax:** (530) 842-5839
- **Mailing address:** 2524 WESTSIDE RD, YREKA, CA 96097-9129
- **Mailing address phone:** (530) 842-2760
- **Mailing address fax:** (530) 842-5839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | FNP26049 | CA | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 03/11/2010