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05D0700276 CLIA NUMBER - MATTHEW C BLUNDELL, MD DBA CRESCENT CITY INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 05D0700276

Facility Name: MATTHEW C BLUNDELL, MD DBA CRESCENT CITY INTERNAL MEDICINE

Facility Address:
1771 NORTHCREST DRIVE
CRESCENT CITY, CA
ZIP 95531
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Facility Phone Number: 707 465-8666

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073511796

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D0700276
LAB Type Physician Office
Facility Name MATTHEW C BLUNDELL, MD DBA CRESCENT CITY INTERNAL MEDICINE
Street 1771 NORTHCREST DRIVE
City CRESCENT CITY
State CA
ZIP 95531
Phone 707 465-8666
CertificateType 4
CertificateEffectiveDate 4/16/2024
CertificateExpirationDate 4/15/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024