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Organization
CENTRAL CAL ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Active
Organization
CENTRAL CAL ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY MCCLURE (PRACTICE ADMINISTRATOR)
(209) 215-3523
Entity
Organization
Contact information
Practice address
1801 COLORADO AVE, STE 250, TURLOCK, CA 95382-2710
(209) 216-3500
(209) 215-3505
Mailing address
1801 COLORADO AVE, STE 250, TURLOCK, CA 95382-2710
(209) 216-3500
(209) 215-3505
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
01
—
352208600
ACS/U.S. DEPT. OF LABOR
CA
01
—
4647970001
MEDICARE/CIGNA DME
CA
01
—
DE2153
RAILROAD MEDICARE
CA
01
—
ZZZ05764Z
BLUE SHIELD
CA
Enumeration date
07/24/2006
Last updated
09/12/2008
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