Organization
ANDRE VAN MOL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE VAN MOL MD (OWNER)
(530) 222-3225
Entity
Organization
Contact information
Practice address
3580 SANTA ROSA WAY, REDDING, CA 96003
(530) 222-3225
(530) 222-1219
Mailing address
3580 SANTA ROSA WAY, REDDING, CA 96003
(530) 222-3225
(530) 222-1219
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G62379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G62379
MD LICENSE
CA
Enumeration date
12/08/2006
Last updated
04/18/2013
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