Healthcare Provider Details

I. General information

NPI: 1275001075
Provider Name (Legal Business Name): CALIFORNIA FAMILY MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 CALIFORNIA ST STE A
REDDING CA
96001-1953
US

IV. Provider business mailing address

1920 CALIFORNIA ST STE A
REDDING CA
96001-1953
US

V. Phone/Fax

Practice location:
  • Phone: 530-247-7070
  • Fax: 530-244-7246
Mailing address:
  • Phone: 530-247-7070
  • Fax: 530-244-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW SOLKOVITS
Title or Position: CEO
Credential:
Phone: 530-247-7070