| Wildwood Medical, A Medical Corp. | |
|
11244 Pleasant Valley Rd Penn Valley CA 95946 | |
| (530) 432-4937 | |
| (530) 432-5261 |
| Full Name | Wildwood Medical, A Medical Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 11244 Pleasant Valley Rd, Penn Valley, California |
| Authorized Official Name and Position | Ginny L. Backus (BILLING CLERK) |
| Authorized Official Contact | 5304776830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Medical, A Medical Corp. 11244 Pleasant Valley Rd Penn Valley CA 95946 Ph: (530) 432-4937 | Wildwood Medical, A Medical Corp. 11244 Pleasant Valley Rd Penn Valley CA 95946 Ph: (530) 432-4937 |
| NPI Number | 1013964220 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013964220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Elisabeth B Lernhardt Md Inc Apc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11286 Pleasant Valley Rd, Penn Valley, CA 95946 Phone: 530-432-1300 Fax: 530-432-5214 | |
Western Sierra Medical Clinic - Penn Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10544 Spenceville Rd, Penn Valley, CA 95946 Phone: 530-273-4984 Fax: 530-273-4573 |