| Kerry B Evnin Md Inc A Professional Medical Corporation | |
|
3641 Mitchell Rd H Ceres CA 95307 | |
| (209) 531-0154 | |
| (209) 531-0176 |
| Full Name | Kerry B Evnin Md Inc A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3641 Mitchell Rd, Ceres, California |
| Authorized Official Name and Position | Kerry B Evnin (PRESIDENT) |
| Authorized Official Contact | 2095310154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry B Evnin Md Inc A Professional Medical Corporation 3641 Mitchell Rd H Ceres CA 95307 Ph: (209) 531-0154 | Kerry B Evnin Md Inc A Professional Medical Corporation 3641 Mitchell Rd H Ceres CA 95307 Ph: (209) 531-0154 |
| NPI Number | 1902855588 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902855588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 655240 (California) | Primary |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2760 3rd St, Ceres, CA 95307 Phone: 209-556-5011 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-541-3000 Fax: 209-538-1096 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2760 3rd St, Ceres, CA 95307 Phone: 209-556-5011 Fax: 209-384-3966 | |
Ceres Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2516 E Whitmore Ave, Ceres, CA 95307 Phone: 209-538-1733 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2760 3rd St, Ceres, CA 95307 Phone: 209-556-5011 Fax: 209-556-5095 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 E Whitmore Ave, Ceres, CA 95307 Phone: 866-682-4842 |