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Organization
SMART SISKIYOU MEDICAL ARTS, INC.
Active
Organization
SMART SISKIYOU MEDICAL ARTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL R PEREIRA M.D. (OWNER/PRESIDENT)
(530) 521-3500
Entity
Organization
Contact information
Practice address
444 BRUCE ST, YREKA, CA 96097-3450
(530) 842-4121
Mailing address
PO BOX 15546, SACRAMENTO, CA 95852-1546
(877) 693-2787
(858) 505-7101
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A45016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611685800
DOL
CA
05
—
6330337
—
CA
01
—
A001
TRICARE
CA
01
—
DF2250
RAILROAD MEDICARE
CA
Enumeration date
08/04/2006
Last updated
01/11/2011
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