Organization
PARAGON CHICO MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY LOMAS IV MD (EXECUTOR)
(813) 385-6847
Entity
Organization
Contact information
Practice address
1700 ESPLANADE, CHICO, CA 95926-3315
(813) 385-6847
Mailing address
1700 ESPLANADE, CHICO, CA 95926-3315
(813) 385-6847
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148885
OTHER
CA
Enumeration date
03/13/2019
Last updated
08/30/2021
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