| Center For Functional & Integrative Medicine, Inc | |
|
3104 Ponte Morino Dr Suite 110 Cameron Park CA 95682-8277 | |
| (530) 626-8300 | |
| (530) 626-7617 |
| Full Name | Center For Functional & Integrative Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3104 Ponte Morino Dr, Cameron Park, California |
| Authorized Official Name and Position | Mark Eric Holthouse (CEO) |
| Authorized Official Contact | 5303062997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Functional & Integrative Medicine, Inc 3104 Ponte Morino Dr Suite 110 Cameron Park CA 95682-8277 Ph: () - | Center For Functional & Integrative Medicine, Inc 3104 Ponte Morino Dr Suite 110 Cameron Park CA 95682-8277 Ph: (530) 626-8300 |
| NPI Number | 1518138254 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 11/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518138254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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