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Organization

SOLANO REGIONAL MEDICAL GROUP

Active
Parent organization
SOLANO REGIONAL MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOLANO REGIONAL MEDICAL GROUP
Authorized official
RONALD B. RUSHFORD MD (MEDICAL DIRECTOR)
(707) 434-2049
Entity
Organization

Contact information

Practice address
2450 MARTIN RD, FAIRFIELD, CA 94534-1018
(707) 427-4900
(707) 427-4965
Mailing address
PO BOX 255668, SACRAMENTO, CA 95865-5668
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0059869
CA
Enumeration date
03/01/2007
Last updated
03/27/2009
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