MEDICARE: PAFFORD HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A114715	CA

General Provider Information

NPI Number	:	1750829925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAFFORD HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 267
Second Line	:
City	:	CEDARVILLE
State	:	CA
Zip	:	96104-0267
Country	:	US
Telephone Number	:	530-279-2148
Fax Number	:	530-240-6440

Provider Business Practice Location Address
First Line	:	519A MAIN STREET
Second Line	:
City	:	CEDARVILLE
State	:	CA
Zip	:	96104
Country	:	US
Telephone Number	:	530-279-2148
Fax Number	:	530-240-6440

Authorized Official
Title or Position	:	CEO
Name	:	BENNETT PAFFORD
Credential	:	MD
Telephone Number	:	530-279-2148

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	07/18/2017

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Directions to “PAFFORD HEALTH ” Practice Location

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