Organization
SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL LUPERCIO (AUTHORIZED OFFICIAL)
(530) 232-3000
Entity
Organization
Contact information
Practice address
2701 OLD EUREKA WAY, SUITE 1E, REDDING, CA 96001-0228
(530) 232-3000
(530) 232-3099
Mailing address
2701 OLD EUREKA WAY STE 1E, REDDING, CA 96001-0228
(530) 232-3000
(530) 242-8545
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
CA
207RN0300X
Nephrology Physician
—
CA
207RP1001X
Pulmonary Disease Physician
—
CA
Other
Enumeration date
08/05/2006
Last updated
10/02/2024
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