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Organization
MENDOCINO MEDICAL ASSOCIATES, INC
Active
Organization
MENDOCINO MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN GRAHAM MD (PRESIDENT)
(707) 964-7241
Entity
Organization
Contact information
Practice address
721 RIVER DR, SUITE A, FORT BRAGG, CA 95437-5402
(707) 964-7241
(707) 961-1192
Mailing address
721 RIVER DR, SUITE A, FORT BRAGG, CA 95437-5402
(707) 964-7241
(707) 961-1192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G35252
CA
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0060500
—
CA
05
—
RHM53828F
—
CA
Enumeration date
05/17/2006
Last updated
09/11/2025
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