Provider Demographics
NPI:1598931446
Name:NOR CAL MEDICAL GROUP INC
Entity Type:Organization
Organization Name:NOR CAL MEDICAL GROUP INC
Other - Org Name:ALICIA A KNEE DPM
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:707-645-7210
Mailing Address - Street 1:100 HOSPITAL DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2580
Mailing Address - Country:US
Mailing Address - Phone:707-645-7210
Mailing Address - Fax:707-645-7249
Practice Address - Street 1:100 HOSPITAL DR
Practice Address - Street 2:SUITE 303
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2580
Practice Address - Country:US
Practice Address - Phone:707-645-7210
Practice Address - Fax:707-645-7249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty