Healthcare Provider Details
I. General information
NPI: 1730570565
Provider Name (Legal Business Name): 24 ON PHYSICIANS OF CALIFORNIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2015
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
465 W PUTNAM AVE
PORTERVILLE CA
93257-3320
US
IV. Provider business mailing address
PO BOX 19107
BELFAST ME
04915-4086
US
V. Phone/Fax
- Phone: 559-791-3880
- Fax: 559-791-3831
- Phone: 770-740-0895
- Fax: 404-806-4334
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CURTIS
EADE
Title or Position: CFO
Credential:
Phone: 770-740-0895