| Dr Rachel Mayorga Md Pc | |
|
421 March Ave Ste D Healdsburg CA 95448-3367 | |
| (707) 385-0222 | |
| (707) 629-4849 |
| Full Name | Dr Rachel Mayorga Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 March Ave Ste D, Healdsburg, California |
| Authorized Official Name and Position | Rachel Mayorga (PRESIDENT) |
| Authorized Official Contact | 7077550095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rachel Mayorga Md Pc 421 March Ave Ste D Healdsburg CA 95448-3367 Ph: (707) 385-0222 | Dr Rachel Mayorga Md Pc 421 March Ave Ste D Healdsburg CA 95448-3367 Ph: (707) 385-0222 |
| NPI Number | 1255738613 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 6002131463 |
|---|---|
| Medicare Enrollment ID | O20150206001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255738613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rachel A Mayorga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124078365 PECOS PAC ID: 4587639141 Enrollment ID: I20110526000625 |
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