Organization · Type 2 NPI

Mountain Meadows Medical Group of California, Inc.

Obstetrics & Gynecology Physician · South Lake Tahoe, CA

NPI number 1972630432 Active

Practice location

1067 4th St
South Lake Tahoe, CA 96150-3459

Fax (530) 542-1455

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X207V00000X (CA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5 other providers at this address

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About NPI 1972630432

Mountain Meadows Medical Group of California, Inc.'s National Provider Identifier is 1972630432, issued on Feb 28, 2007. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 19, 2012.