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General NPI Number Information
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NPI Number | 1386845659
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Entity Type | Organization
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Legal Business Name | HEALTH CARE MEDICAL ASSOC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2192 CENTRAL AVE
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-3610
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Country | US
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Telephone | 707-839-4500
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Fax | 707-839-4514
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Provider Business Mailing Address
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Address Line | 2192 CENTRAL AVE
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-3610
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Country | US
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Telephone | 707-839-4500
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Fax | 707-839-4514
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEEPAK K STOKES
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Credential |
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Telephone | 707-839-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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