Organization Name: | RIPON PRIMARY & URGENT CARE CENTER |
NPI Number: | 1134472772 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BHUMIKA DUNLAP (OFFICE MANAGER) |
Mailing Address: | 336 W Main St Ripon |
State: | CA US |
Postal Code: | 953662424 |
Phone Number: | 2095995571 |
Fax Number: | 2092530700 |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP19879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |