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Organization
PAULA TREMAYNE, D.O., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
PAULA TREMAYNE, D.O., A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Tremayne Center for Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA TREMAYNE D.O. (PRESIDENT)
(209) 549-1600
Entity
Organization
Contact information
Practice address
817 COFFEE RD, SUITE D, MODESTO, CA 95355-4241
(209) 549-1600
(209) 549-1601
Mailing address
817 COFFEE RD, SUITE D, MODESTO, CA 95355-4241
(209) 549-1600
(209) 549-1601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A8495
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
20A8495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX84950
—
CA
01
—
020A84952
MCARE PTAN
CA
Enumeration date
12/05/2011
Last updated
01/11/2017
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