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Organization
RONALD G CHAMBERS INC
Active
Organization
RONALD G CHAMBERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD G CHAMBERS SR. M.D. (PRESIDENT, CORPORATION)
(530) 275-3094
Entity
Organization
Contact information
Practice address
4174 ASHBY CT, SHASTA LAKE, CA 96019-9215
(530) 275-3094
(530) 275-0803
Mailing address
4174 ASHBY CT, SHASTA LAKE, CA 96019-9215
(530) 275-3094
(530) 275-0803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G27170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G271700
BLUE CROSS PROVIDER NUMBE
CA
01
—
00G271700
MEDICARE LEGACY NUMBER
—
05
—
00G271700
—
CA
01
—
05D0714372
CLIA
CA
01
—
1861616567
MEDICARE NPI ORGANIZ #
—
05
—
1861616567
—
CA
01
—
G27170
STATE LICENSE NUMBER
CA
01
—
Q71604
NP UPIN FOR GROUP
CA
01
—
ZZZ02677Z
NP PPIN # FOR GROUP
CA
Enumeration date
04/12/2007
Last updated
07/06/2010
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