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Organization
NEWSTART MEDICAL CLINIC
Active
Organization
NEWSTART MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TENA R PENNER (MEDICAL CLINIC MANAGER)
(530) 637-4111
Entity
Organization
Contact information
Practice address
20601 WEST PAOLI LANE, WEIMAR, CA 95736
(530) 637-4111
(530) 637-4443
Mailing address
PO BOX 486, WEIMAR, CA 95736
(530) 637-4111
(530) 637-4443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ22926Z
CLINIC PROVIDER #
CA
Enumeration date
12/13/2006
Last updated
09/11/2025
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