Organization
SIGNIFY HEALTH MEDICAL ASSOCIATES OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FAIRCHILD (PRESIDENT AND CHIEF MEDICAL OFFICE)
(877) 868-5351
Entity
Organization
Contact information
Practice address
505 MONTGOMERY ST, FL 10 & 11, SAN FRANCISCO, CA 94111-2585
(972) 715-3800
Mailing address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
(972) 715-3800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/24/2019
Last updated
10/26/2023
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