UKIAH VALLEY PRIMARY CARE MEDICAL GROUP INC NPI 1902038573

NPI Information

UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC is a cardiovascular disease internal medicine in Ukiah, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC NPI is 1902038573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 HOSPITAL DR STE A
UKIAH, CA
ZIP 95482-558
Phone: (707) 463-8000
Fax: (707) 463-8006

The provider's authorized official is Darcie Anne Antle .
The authorized official title is Administrator and has the following contact phone number (707) 463-8000.

The enumeration date for this NPI number is 8/17/2009 and was last updated on 8/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.