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Organization
SANJIV K MIDHA MD
Active
Organization
SANJIV K MIDHA MD
Active
Other names
Childrens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV MIDHA M.D. (OWNER)
(530) 674-2100
Entity
Organization
Contact information
Practice address
348 MARKET ST, SUITE B, COLUSA, CA 95932-2422
(530) 458-2300
Mailing address
2017 EAGER RD, LIVE OAK, CA 95953-9741
(530) 674-2100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A70328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM08912F
—
CA
Enumeration date
03/23/2007
Last updated
06/27/2008
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