Organization
ALDIS BALTINS
Active
Other names
MENDOCINO ORTHOPEDIC MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDIS BALTINS MD (OWNER PHYSICIAN)
(707) 468-0471
Entity
Organization
Contact information
Practice address
1165 S DORA ST, SUITE C1, UKIAH, CA 95482
(707) 468-0471
(707) 468-1182
Mailing address
1165 S DORA ST, SUITE C1, UKIAH, CA 95482
(707) 468-0471
(707) 468-1182
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801030001
CIGNA DMERC REGION D
CA
01
—
195914700
DEPT OF LABOR WORKCOMP
CA
01
—
CP5457
RAILROAD MEDICARE
CA
05
—
ZZZ78023Z
—
CA
Enumeration date
11/07/2006
Last updated
08/13/2008
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