Organization
AMPLA HEALTH
Active
Other names
AMPLA HEALTH LA PALOMA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN H FLORES MPH (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(530) 751-3739
Entity
Organization
Contact information
Practice address
1574 KIRK RD, GRIDLEY, CA 95948-9417
(530) 846-3707
(530) 846-3709
Mailing address
PO BOX AD, YUBA CITY, CA 95992-1396
(530) 751-3769
(530) 751-1237
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5537638
—
CA
Enumeration date
07/13/2006
Last updated
01/18/2021
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