Organization
MOUNTAIN VIEW REHABILITATION MEDICAL ASSOCIATES, INC.
Active
Organization
MOUNTAIN VIEW REHABILITATION MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LEA THOMPSON (BUSINESS MANAGER)
(530) 477-6283
Entity
Organization
Contact information
Practice address
380 SIERRA COLLEGE DR, STE 200, GRASS VALLEY, CA 95945-5081
(530) 477-0893
(530) 477-1450
Mailing address
10556 COMBIE RD, #6439, AUBURN, CA 95602-8908
(530) 268-4664
(530) 268-4666
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA2353
MEDICARE RR GROUP
CA
01
—
ZZZ07115Z
BLUE SHIELD GROUP
CA
Enumeration date
09/20/2006
Last updated
11/29/2012
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