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Contact Information

NEDLEY CLINIC P C
20601 W PAOLI LN
WEIMAR, CA95736
 Phone: 530-422-7920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for NEDLEY CLINIC P C

NPI # 1134214471
LBN Legal business name NEDLEY CLINIC P C
Authorized official NEIL NEDLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 11/15/2022 - About 4 years ago
Identifiers
OK License # 1658
OK License # 16858
OK Medicaid 100710290A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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