| Mundh Np & Garretson Md Medical Corporation | |
|
9792 Live Oak Blvd Ste E Live Oak CA 95953-2381 | |
| (530) 701-3131 | |
| Not Available |
| Full Name | Mundh Np & Garretson Md Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 9792 Live Oak Blvd Ste E, Live Oak, California |
| Authorized Official Name and Position | Hardeep Mundh (NP/CEO) |
| Authorized Official Contact | 5307013131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mundh Np & Garretson Md Medical Corporation 9792 Live Oak Blvd Ste E Live Oak CA 95953-2381 Ph: (530) 701-3131 | Mundh Np & Garretson Md Medical Corporation 9792 Live Oak Blvd Ste E Live Oak CA 95953-2381 Ph: (530) 701-3131 |
| NPI Number | 1013596683 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 6406245323 |
|---|---|
| Medicare Enrollment ID | O20211116000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013596683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles A Garretson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144284373 PECOS PAC ID: 5991603516 Enrollment ID: I20060114000092 |
| Provider Name | Tanya L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467498758 PECOS PAC ID: 7517927254 Enrollment ID: I20070202000456 |
| Provider Name | Sukhwinder Sandhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063456457 PECOS PAC ID: 4082773502 Enrollment ID: I20081112000711 |
| Provider Name | Aldebra L Schroll |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568417012 PECOS PAC ID: 7214125541 Enrollment ID: I20160826002343 |
| Provider Name | Hardeep Mundh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982186508 PECOS PAC ID: 9537405667 Enrollment ID: I20190110003198 |
| Provider Name | Camille L Mundh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083322168 PECOS PAC ID: 7315318896 Enrollment ID: I20230119002336 |
Mundh Np & Garretson Md Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2794 Pennington Rd, Live Oak, CA 95953 Phone: 530-695-6830 Fax: 530-237-0460 |