| Forest Road Health & Wellness Center | |
|
193 Fairview Ln Sonora CA 95370-4828 | |
| (209) 536-5100 | |
| (209) 536-5108 |
| Full Name | Forest Road Health & Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 193 Fairview Ln, Sonora, California |
| Authorized Official Name and Position | Gregory D Mcculloch (CEO) |
| Authorized Official Contact | 2095365011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Road Health & Wellness Center Po Box 398852 San Francisco CA 94139-8852 Ph: (209) 536-3900 | Forest Road Health & Wellness Center 193 Fairview Ln Sonora CA 95370-4828 Ph: (209) 536-5100 |
| NPI Number | 1003014952 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 08/22/2019 |
| Medicare PECOS PAC ID | 4284538505 |
|---|---|
| Medicare Enrollment ID | O20070503000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003014952 | NPI | - | NPPES |
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