Healthcare Provider Details

I. General information

NPI: 1679798425
Provider Name (Legal Business Name): HEALTH CARE MEDICAL ASSOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 WALFORD AVE E
EUREKA CA
95503-4828
US

IV. Provider business mailing address

3200 WALFORD AVE STE E
EUREKA CA
95503-4828
US

V. Phone/Fax

Practice location:
  • Phone: 707-445-3443
  • Fax: 707-445-1848
Mailing address:
  • Phone: 707-441-8335
  • Fax: 707-441-4834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number00A033996
License Number StateCA

VIII. Authorized Official

Name: ANASTASIA ENGLE
Title or Position: OFFICE ASSISTANT
Credential:
Phone: 707-441-8335