Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-03-27
- Last updated
- 2025-06-18
Licenses
- License CA
- 230000036
- License CA
- 230000036
Location
- Practice location
- 2550 SISTER MARY COLUMBA DR
- City
- RED BLUFF CA
- Postal code
- 960804327
- Phone
- 858-275-8112
Organization contact
- Name
- DANIEL MORISSETTE
- Title
- Chief Financial Officer
- Phone
- 8582758112
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.