Provider Demographics
NPI:1093570665
Name:JONI LAINE MCATEE, MD, INC., A CALIFORNIA PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JONI LAINE MCATEE, MD, INC., A CALIFORNIA PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCATEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-733-3756
Mailing Address - Street 1:2906 F ST UNIT 6620
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95502-4109
Mailing Address - Country:US
Mailing Address - Phone:707-733-3756
Mailing Address - Fax:
Practice Address - Street 1:2909 F ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-4424
Practice Address - Country:US
Practice Address - Phone:707-733-3756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty