Provider Demographics
NPI:1922180215
Name:JAMES CORONA, MD
Entity Type:Organization
Organization Name:JAMES CORONA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CORONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-865-6430
Mailing Address - Street 1:203 WALKER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-1450
Mailing Address - Country:US
Mailing Address - Phone:530-865-6430
Mailing Address - Fax:530-865-6438
Practice Address - Street 1:203 WALKER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1450
Practice Address - Country:US
Practice Address - Phone:530-865-6430
Practice Address - Fax:530-865-6438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54266261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM53964FMedicaid
CAG14260Medicare UPIN
CA55-3964Medicare ID - Type UnspecifiedRURAL HEALTH MEDICARE