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Organization
ORTHOPEDIC ASSOCIATES OF NORTHERN CALIFORNIA A MEDICAL GROUP
Active
Organization
ORTHOPEDIC ASSOCIATES OF NORTHERN CALIFORNIA A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DYANNA R JOHNSON MD (CEO)
(530) 897-4500
Entity
Organization
Contact information
Practice address
131 RALEY BLVD, CHICO, CA 95928-8347
(530) 897-4500
(530) 897-4544
Mailing address
131 RALEY BLVD, CHICO, CA 95928-8347
(530) 897-4500
(530) 897-4544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0077320
—
CA
01
—
ZZZ52846Z
BLUE SHIELD
—
Enumeration date
03/15/2006
Last updated
10/08/2024
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