| Judith Brandt, D O Inc | |
|
3070 Camino Heights Dr Suite B Camino CA 95709-9508 | |
| (530) 647-9762 | |
| (530) 647-1961 |
| Full Name | Judith Brandt, D O Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3070 Camino Heights Dr, Camino, California |
| Authorized Official Name and Position | Judith Brandt (PRESIDENT) |
| Authorized Official Contact | 5306512000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Brandt, D O Inc 3070 Camino Heights Dr Suite B Camino CA 95709-9508 Ph: (530) 647-9762 | Judith Brandt, D O Inc 3070 Camino Heights Dr Suite B Camino CA 95709-9508 Ph: (530) 647-9762 |
| NPI Number | 1457557126 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 10/28/2022 |
| Medicare PECOS PAC ID | 5991749855 |
|---|---|
| Medicare Enrollment ID | O20050613000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457557126 | NPI | - | NPPES |
| RHM08909F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6245 (California) | Primary |