Healthcare Provider Details

I. General information

NPI: 1245265842
Provider Name (Legal Business Name): YUBA DOCS MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 NEVADA CITY HWY
GRASS VALLEY CA
95945
US

IV. Provider business mailing address

2090 NEVADA CITY HWY
GRASS VALLEY CA
95945
US

V. Phone/Fax

Practice location:
  • Phone: 530-274-5020
  • Fax:
Mailing address:
  • Phone: 530-274-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBBY L OCHS
Title or Position: BILLING MANAGER
Credential:
Phone: 530-208-5881