Northern California Medical Assoc INC

NPI #1982603577 in Mendocino, California

Provider Information

NPI Number: 1982603577
Entity Type: Organization
Organization Name: Northern California Medical Assoc INC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 18, 2005
Last Updated: Feb 9, 2012

Practice Location

Address: 45081 LITTLE LAKE ST
City: Mendocino
State: California
ZIP Code: 95460
Phone: (707) 573-6166

Authorized Official

Name: MS. RUTH ANN SKIDMORE
Title: CHIEF EXECUTIVE OFFICER
Phone: (707) 573-6925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Interventional Cardiology — Interventional Cardiology	207RI0011X
Internal Medicine	207R00000X	Primary

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