Organization
MED CENTER MEDICAL CLINIC, INC
Active
Parent organization
MED CENTER MEDICAL CLINIC, INC
Other names
DR CHAMPLIN'S ANNEX
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED CENTER MEDICAL CLINIC, INC
Authorized official
CINDY ADGE (OFFICE MANAGER)
(916) 676-1450
Entity
Organization
Contact information
Practice address
7988 CALIFORNIA AVE, FAIR OAKS, CA 95628-7140
(916) 961-7031
(916) 961-5218
Mailing address
6060 SUNRISE VISTA DR, STE 3050, CITRUS HEIGHTS, CA 95610-7053
(916) 676-1450
(916) 676-1447
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10071
CA
Other
Enumeration date
05/07/2008
Last updated
01/22/2009
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