| Angela Ingendaay, M.d., Professional Corporation | |
|
150 S Auburn Street Grass Valley CA 95945 | |
| (530) 272-0537 | |
| (530) 692-2053 |
| Full Name | Angela Ingendaay, M.d., Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 150 S Auburn Street, Grass Valley, California |
| Authorized Official Name and Position | Angela I Ingendaay (PRESIDENT) |
| Authorized Official Contact | 5302720537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Ingendaay, M.d., Professional Corporation 150 S Auburn Street Grass Valley CA 95945 Ph: (530) 272-0537 | Angela Ingendaay, M.d., Professional Corporation 150 S Auburn Street Grass Valley CA 95945 Ph: (530) 272-0537 |
| NPI Number | 1487729828 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487729828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A52909 (California) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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Western Sierra Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Glasson Way, Grass Valley, CA 95945 Phone: 530-273-4984 Fax: 530-273-4573 | |
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