| Rulon Douglas Owen Do | |
|
244 N Kaweah Ave Exeter CA 93221 | |
| (559) 592-3889 | |
| Not Available |
| Full Name | Rulon Douglas Owen Do |
|---|---|
| Speciality | Family Medicine |
| Location | 244 N Kaweah Ave, Exeter, California |
| Authorized Official Name and Position | R Douglas Owen (PRES) |
| Authorized Official Contact | 5595923885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rulon Douglas Owen Do 244 N Kaweah Ave Exeter CA 93221 Ph: (559) 592-3889 | Rulon Douglas Owen Do 244 N Kaweah Ave Exeter CA 93221 Ph: (559) 592-3889 |
| NPI Number | 1942221171 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406948157 |
|---|---|
| Medicare Enrollment ID | O20070825000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942221171 | NPI | - | NPPES |
| 00AX55310 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5531 (California) | Primary |
San Joaquin Prime Care Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 E Pine St, Exeter, CA 93221 Phone: 559-592-2134 Fax: 559-592-5017 | |
Omni Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 W. Visalia Rd, #102, Exeter, CA 93221 Phone: 661-459-1900 Fax: 661-746-9197 | |
Shyam Bhaskar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Maple St, Exeter, CA 93221 Phone: 559-592-6039 Fax: 559-635-7106 |