Organization
THE DOCTORS CENTER MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD S. BLYTHE M.D. (PRESIDENT)
(916) 966-6287
Entity
Organization
Contact information
Practice address
4948 SAN JUAN AVE, FAIR OAKS, CA 95628-4606
(916) 966-6287
(916) 966-2541
Mailing address
4948 SAN JUAN AVE, FAIR OAKS, CA 95628-4606
(916) 966-6287
(916) 966-2541
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ13047Z
BLUE SHIELD
CA
Enumeration date
09/21/2006
Last updated
02/21/2008
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