Organization Name: | CAL CITY CLINIC |
NPI Number: | 1942578943 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHMEAD ALI (OWNER) |
Mailing Address: | 9300 N Loop Blvd Ste A&b California City |
State: | CA US |
Postal Code: | 935052269 |
Phone Number: | 7603731256 |
Fax Number: | 7603731214 |
NPI Enumeration Date: | 12/05/2011 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | G78625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |