Organization
EL DORADO COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA SALAS RODRIGUEZ (COMMUNITY HEALTH WORKER)
(530) 573-3156
Entity
Organization
Contact information
Practice address
1360 JOHNSON BLVD, SUITE 103, SOUTH LAKE TAHOE, CA 96150-8220
(530) 573-3156
Mailing address
1360 JOHNSON BLVD, SUITE 103, SOUTH LAKE TAHOE, CA 96150-8220
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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