# ALDIS BALTINS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MENDOCINO ORTHOPEDIC MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215006143
- **Authorized official:** DR. ALDIS BALTINS MD (OWNER PHYSICIAN)
- **Authorized official phone:** (707) 468-0471

## Contact information

- **Practice address:** 1165 S DORA ST, SUITE C1, UKIAH, CA 95482
- **Practice address phone:** (707) 468-0471
- **Practice address fax:** (707) 468-1182
- **Mailing address:** 1165 S DORA ST, SUITE C1, UKIAH, CA 95482
- **Mailing address phone:** (707) 468-0471
- **Mailing address fax:** (707) 468-1182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0801030001 | CIGNA DMERC REGION D | CA |
| 01 | — | 195914700 | DEPT OF LABOR WORKCOMP | CA |
| 01 | — | CP5457 | RAILROAD MEDICARE | CA |
| 05 | — | ZZZ78023Z | — | CA |