Organization
NORTHSTATE CARDIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA L SHAND (MANAGER)
(530) 342-0123
Entity
Organization
Contact information
Practice address
198 COHASSET RD, CHICO, CA 95926-2202
(530) 342-0123
(530) 342-6475
Mailing address
198 COHASSET RD, CHICO, CA 95926-2202
(530) 342-0123
(530) 342-6475
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 51596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51596
DEPT OF CONSUMER AFFAIRS
CA
Enumeration date
05/14/2014
Last updated
05/14/2014
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