| Rebecca R Boening Md Inc | |
|
263 N Villa Ave Willows CA 95988-2607 | |
| (530) 934-8700 | |
| (530) 934-3011 |
| Full Name | Rebecca R Boening Md Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 263 N Villa Ave, Willows, California |
| Authorized Official Name and Position | Rebecca R Boening (MD/PRESIDENT) |
| Authorized Official Contact | 5309348700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca R Boening Md Inc 263 N Villa Ave Willows CA 95988-2607 Ph: (530) 934-8700 | Rebecca R Boening Md Inc 263 N Villa Ave Willows CA 95988-2607 Ph: (530) 934-8700 |
| NPI Number | 1528844636 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 08/01/2024 |
| Medicare PECOS PAC ID | 2769832500 |
|---|---|
| Medicare Enrollment ID | O20231220001525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528844636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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