Healthcare Provider Details

I. General information

NPI: 1669014270
Provider Name (Legal Business Name): FAMILIES FIRST ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

466 DEL NORTE AVE
YUBA CITY CA
95991-4125
US

IV. Provider business mailing address

466 DEL NORTE AVE
YUBA CITY CA
95991-4125
US

V. Phone/Fax

Practice location:
  • Phone: 530-218-5861
  • Fax:
Mailing address:
  • Phone: 530-218-5861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOHER MARK JOHNSON
Title or Position: OWNER
Credential: PA
Phone: 530-218-5861