| Oaktree Medical Group | |
|
115 Gibson Rd Templeton CA 93465-9510 | |
| (805) 434-6868 | |
| Not Available |
| Full Name | Oaktree Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Gibson Rd, Templeton, California |
| Authorized Official Name and Position | Chanin Craig (CEO) |
| Authorized Official Contact | 8054346868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaktree Medical Group 115 Gibson Rd Templeton CA 93465-9510 Ph: (805) 434-6868 | Oaktree Medical Group 115 Gibson Rd Templeton CA 93465-9510 Ph: (805) 434-6868 |
| NPI Number | 1972105427 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Medicare PECOS PAC ID | 0840605051 |
|---|---|
| Medicare Enrollment ID | O20210222001959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972105427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Craig Michael Chanin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831222744 PECOS PAC ID: 7618211947 Enrollment ID: I20181127003010 |
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