Provider Demographics
NPI:1275001075
Name:CALIFORNIA FAMILY MEDICAL GROUP INC
Entity Type:Organization
Organization Name:CALIFORNIA FAMILY MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLKOVITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-247-7070
Mailing Address - Street 1:1920 CALIFORNIA ST STE A
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1953
Mailing Address - Country:US
Mailing Address - Phone:530-247-7070
Mailing Address - Fax:530-244-7246
Practice Address - Street 1:1920 CALIFORNIA ST STE A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1953
Practice Address - Country:US
Practice Address - Phone:530-247-7070
Practice Address - Fax:530-244-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty