Organization · Type 2 NPI

Sonora Community Hospital

General Practice Physician · Sonora, CA

NPI number 1063403129 Active

Practice location

650 Pauline Ct
Sonora, CA 95370-5210

Call (209) 532-5154 Map

Fax (209) 533-7696

Mailing address

14542 Lolly Ln
Sonora, CA 95370-9226

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

Richard A. Munger M.d.,inc.Health Service Clinic/Center Sonora, CA NPI 1780011270
Richard Alan Munger, MDGeneral Practice Physician Sonora, CA NPI 1053398313

NPI record

NPI: 1063403129
Entity type: Organization (Type 2)
Issued: Oct 28, 2005
Last updated: Apr 2, 2013
Status: Active
Subpart: Yes of Sonora Community Hospital

Other names

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Foothill Primary Care · doing business as

Authorized official

Andrew D. Jahn
Vice President for Finance
(209) 536-5011

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063403129

Sonora Community Hospital's National Provider Identifier is 1063403129, issued on Oct 28, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sonora, CA. The record was last updated on Apr 2, 2013.