Organization
CENTRAL CAL ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY MCCLURE (PRACTICE ADMINISTRATOR)
(209) 215-3523
Entity
Organization
Contact information
Practice address
1801 COLORADO AVE, STE 250, TURLOCK, CA 95382-2710
(209) 216-3500
(209) 215-3505
Mailing address
1801 COLORADO AVE, STE 250, TURLOCK, CA 95382-2710
(209) 216-3500
(209) 215-3505
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352208600
ACS/U.S. DEPT. OF LABOR
CA
01
—
4647970001
MEDICARE/CIGNA DME
CA
01
—
DE2153
RAILROAD MEDICARE
CA
01
—
ZZZ05764Z
BLUE SHIELD
CA
Enumeration date
07/24/2006
Last updated
09/12/2008
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