Organization · Type 2 NPI

Sonora Community Hospital

Family Medicine Physician · Angels Camp, CA

NPI number 1821089749 Active

Practice location

445 South Main St
Angels Camp, CA 95222

Call (209) 736-0249 Map

Fax (209) 533-7696

Mailing address

14542 Lolly Ln
Sonora, CA 95370-9226

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1821089749
Entity type: Organization (Type 2)
Issued: Oct 31, 2005
Last updated: Mar 29, 2013
Status: Active
Subpart: Yes of Sonora Community Hospital

Other names

<unavail>
Angels Camp Family Medical Center · 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.

Is this your record? How to update it.

About NPI 1821089749

Sonora Community Hospital's National Provider Identifier is 1821089749, issued on Oct 31, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Angels Camp, CA. The record was last updated on Mar 29, 2013.