Organization
SABLAN MEDICAL CORPORATION
Active
Other names
Sablan Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR M SABLAN M.D. (PRESIDENT)
(559) 296-5080
Entity
Organization
Contact information
Practice address
979 O ST, STE B, FIREBAUGH, CA 93622-2220
(559) 296-5080
(559) 296-5011
Mailing address
PO BOX 306, FIREBAUGH, CA 93622-0306
(559) 296-5080
(559) 296-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G45421
CA
207R00000X
Internal Medicine Physician
G45391
CA
261QR1300X
Rural Health Clinic/Center
Primary
G45421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP03903F
—
CA
05
—
HAP03903F
—
CA
05
—
RHM03903F
—
CA
Enumeration date
05/17/2007
Last updated
01/13/2014
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