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Organization
RIDGE PRIMARY CARE MEDICAL ASSOCIATES INC
Active
Organization
RIDGE PRIMARY CARE MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LEE MD (CFO)
(530) 877-0762
Entity
Organization
Contact information
Practice address
6585 CLARK RD, SUITE 240, PARADISE, CA 95969-3500
(530) 877-0762
(530) 876-2209
Mailing address
6585 CLARK RD, SUITE 240, PARADISE, CA 95969-3500
(530) 877-0762
(530) 876-2209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A77753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6834
MEDICARE RAILROAD #
—
Enumeration date
06/21/2006
Last updated
08/20/2013
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