Organization
FREMONT RIDEOUT MEDICAL GROUP INC
Active
Other names
North Valley Anes Med Grp Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SERAFIN MD (GROUP PRESIDENT)
(530) 751-4000
Entity
Organization
Contact information
Practice address
970 PLUMAS STREET, YUBA CITY, CA 95991
(530) 751-4000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092250
—
CA
01
—
ZZZ048072
BLUE SHIELD OF CA
CA
Enumeration date
05/19/2006
Last updated
12/07/2007
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