Individual
PAO GE LOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4552 MEADOW WAY, OLIVEHURST, CA 95961-4527
(530) 742-7769
Mailing address
4552 MEADOW WAY, OLIVEHURST, CA 95961-4527
(530) 742-7769
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
004274
CA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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