Provider Demographics
NPI:1336464551
Name:CALIFORNIA MINUTE CLINIC INC
Entity Type:Organization
Organization Name:CALIFORNIA MINUTE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OTASHE
Authorized Official - Middle Name:NYOKU
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-691-6780
Mailing Address - Street 1:9098 LAGUNA MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7449
Mailing Address - Country:US
Mailing Address - Phone:916-691-6780
Mailing Address - Fax:916-691-6799
Practice Address - Street 1:9098 LAGUNA MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7449
Practice Address - Country:US
Practice Address - Phone:916-691-6780
Practice Address - Fax:916-691-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty