Organization · Type 2 NPI
Fibromyalgia Relief Center of Lake Tahoe
Point of Service · South Lake Tahoe, CA
NPI number
1073707725
Active
Practice location
961 Emerald Bay Rd
South Lake Tahoe, CA 96150-6410
Fax (530) 544-0636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 11681 (CA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1073707725
Fibromyalgia Relief Center of Lake Tahoe's National Provider Identifier is 1073707725, issued on Sep 5, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 5, 2007.