Organization
SIERRA IMMEDIATE CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B SOBELMAN M.D. (OWNER)
(530) 295-1074
Entity
Organization
Contact information
Practice address
1000 FOWLER WAY, SUITE #7, PLACERVILLE, CA 95667-5738
(530) 295-1074
(530) 295-0328
Mailing address
1000 FOWLER WAY, SUITE #7, PLACERVILLE, CA 95667-5738
(530) 295-1074
(530) 295-0328
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
FNP 31014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G392741
—
CA
Enumeration date
08/04/2008
Last updated
09/25/2008
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