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Organization
TUOLUMNE MEWUK INDIAN HEALTH CENTER, INC
Active
Organization
TUOLUMNE MEWUK INDIAN HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY SHOKRAII (CHIEF ADMINISTRATIVE OFFICER)
(209) 459-7933
Entity
Organization
Contact information
Practice address
18880 CHERRY VALLEY BLVD, TUOLUMNE, CA 95379-9612
(209) 928-5450
(209) 928-5414
Mailing address
18880 CHERRY VALLEY BLVD, TUOLUMNE, CA 95379-9506
(209) 928-5400
(209) 928-5414
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
PSY18496
CA
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
20A7824
CA
207Q00000X
Family Medicine Physician
G32948
CA
207Q00000X
Family Medicine Physician
Primary
G50654
CA
207Q00000X
Family Medicine Physician
G73139
CA
208000000X
Pediatrics Physician
A53764
CA
2084P0800X
Psychiatry Physician
A62628
CA
363A00000X
Physician Assistant
PA15883
CA
363LF0000X
Family Nurse Practitioner
NP14383
CA
Other
Enumeration date
12/14/2005
Last updated
11/21/2025
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