| Henry Go Md Inc | |
|
11733 Highway 160 Courtland CA 95615-0338 | |
| (916) 775-1711 | |
| (916) 775-2307 |
| Full Name | Henry Go Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11733 Highway 160, Courtland, California |
| Authorized Official Name and Position | Henry Go (PRESIDENT) |
| Authorized Official Contact | 9167751711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Go Md Inc Po Box 338 Courtland CA 95615-0338 Ph: (916) 775-1711 | Henry Go Md Inc 11733 Highway 160 Courtland CA 95615-0338 Ph: (916) 775-1711 |
| NPI Number | 1932320926 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 06/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932320926 | NPI | - | NPPES |
| 00A191200 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00A191200 (California) | Primary |