| Ridge Medical Group Inc. | |
|
10565 Brunswick Rd Suite 1 Grass Valley CA 95945-9053 | |
| (530) 272-0501 | |
| (530) 272-0571 |
| Full Name | Ridge Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10565 Brunswick Rd, Grass Valley, California |
| Authorized Official Name and Position | John C Jackson (MD) |
| Authorized Official Contact | 5302720501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Medical Group Inc. 10565 Brunswick Rd Suite 1 Grass Valley CA 95945-9053 Ph: (530) 272-0501 | Ridge Medical Group Inc. 10565 Brunswick Rd Suite 1 Grass Valley CA 95945-9053 Ph: (530) 272-0501 |
| NPI Number | 1386700649 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386700649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G37527 (California) | Primary |
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