Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like M*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

provider_number	npi_provider_number	owner_number	service_location_number	provider_business_legal_name	enrollment_status_effective_date	provider_type_code	provider_type_code_desc	provider_license_number	provider_specialty_code	provider_specialty_code_desc	out_of_state_ind	out_of_state_ind_desc	provider_address_county_code	provider_address_county_desc	attention_line	provider_address_line1	provider_address_line2	provider_address_city	provider_address_state	provider_address_zip	provider_phone_number	provider_address_latitude	provider_address_longitude	mssa_id	tract_id
1003856402	1003856402	1	1	Moas, Ovadia Md Inc	18-Feb-82	26	PHYSICIANS	A00035730	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	9815 Las Tunas Dr	None	Temple City	CA	91780-2209	(818) 285-7158	34.107336	-118.056401	78.2dddd	4319
1013088582	1013088582	1	1	Mountain Valleys Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	PO BOX 170	610 W Third St	None	Dorris	CA	96023-0000	(530) 397-8411	41.964223	-121.918911	200	2
1013088582	1013088582	1	3	Mountain Valleys Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	INTERMITTENT	101 Old Mccloud Road	None	Mt Shasta	CA	96067-2796	(530) 397-8411	41.305179	-122.311032	197	10
1013088582	1013088582	1	4	Mountain Valleys Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	INTERMITTENT	50 Alamo Avenue	None	Weed	CA	96094-2352	(530) 938-3491	41.427041	-122.385043	197	9
1043593304	1043593304	1	1	Mission City Community	15-Dec-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	NETWORK INC	15210 Parthenia Street	None	North Hills	CA	91343-5305	(818) 895-3100	34.228183	-118.463571	78.2kk	1175.3
1104014414	1104014414	1	1	Mercy Medical Center	30-Mar-10	22	PHYSICIANS GROUP	FNP020342	1	General Practice	0	In state provider	19	Los Angeles	None	16444 Paramount Blvd	Ste 103	Paramount	CA	90723-5453	(562) 531-7790	33.884591	-118.15997	78.2m	5539.02
1124051578	1124051578	1	1	M.D. Medical Center, Inc	8-Aug-17	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	600 N Garfield Ave	Suite 111	Monterey Park	CA	91754-1166	(626) 280-3651	34.068526	-118.122924	78.2nn	4817.13
1124220249	1124220249	1	1	Mendocino Coast Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	CARE DISTRICT	721 River Dr	Suites A, B, & C	Fort Bragg	CA	95437-5402	(707) 961-4631	39.431693	-123.800817	89	105
1144273194	1144273194	1	1	Moreno Valley Urgent Care	27-Jun-08	26	PHYSICIANS	None	8	Family Practice	0	In state provider	33	Riverside	CLINIC INC	24318 Hemlock Ave	Suite E1	Moreno Valley	CA	92557-7107	(951) 243-5050	33.941954	-117.236551	135g	424.04
1154503399	1154503399	1	1	Marin Comm Clinic San Rafael	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	None	3110 Kerner Blvd	None	San Rafael	CA	94901-5439	(415) 526-8512	37.957757	-122.500253	83b	1122.02
1164428488	1164428488	1	1	Mccloud Healthcare Clinic	17-Feb-10	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	47	Siskiyou	None	116 W Minnesota Ave	None	Mc Cloud	CA	96057-1143	(530) 964-2389	41.252132	-122.137348	199	12
1194866525	1194866525	1	1	Mayer, Ralph Md	10-Apr-06	22	PHYSICIANS GROUP	G00069356	8	Family Practice	0	In state provider	19	Los Angeles	None	2568 Clarendon Ave	None	Huntington Park	CA	90255-4073	(323) 582-5444	33.983576	-118.225815	78.2ccc	5326.05
1245301308	1245301308	1	1	Mountain Valleys Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	45	Shasta	BURNEY HEALTH CENTER	37491 Enterprise Dr	None	Burney	CA	96013-4380	(530) 335-5457	40.887165	-121.647469	190	127.01
1245380799	1245380799	1	2	Mountains Community Hosp	12-Jul-90	15	COMMUNITY OUTPATIENT HOSPITAL	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	29101 Hospital Road	None	Lake Arrowhead	CA	92352-0070	(714) 336-3651	34.265903	-117.167097	147	109.02
1245384742	1245384742	1	1	Marshall Medical Center	16-Mar-06	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	9	El Dorado	PRIMARY CARE OB-GYN	3501 Palmer Dr	Ste 204	Cameron Park	CA	95682-8276	(530) 621-3600	38.66181	-120.966419	23.1	308.03
1275030009	1275030009	1	1	M Pakour Md Inc	27-Jul-18	26	PHYSICIANS	None	8	Family Practice	0	In state provider	19	Los Angeles	None	3671 W 6th St.	Ste.B	Los Angeles	CA	90020-3026	(213) 375-7511	34.063571	-118.302245	78.2e	2118.02
1285623256	1285623256	1	1	Merced Faculty Associates Me	5-Jan-89	22	PHYSICIANS GROUP	P14747	8	Family Practice	0	In state provider	24	Merced	DICAL GROUP	127 El Portal	None	Merced	CA	95348-2853	(209) 723-3704	37.326774	-120.470477	97.1	10.02
1285804948	1285804948	1	1	Marin City Health And	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	WELLNESS CENTER	630 Drake Ave	None	Sausalito	CA	94965-1107	(415) 339-8813	37.873813	-122.514554	82	1290
1285937631	1285937631	1	1	Miyoco Medical Center Inc	1-Mar-19	26	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	15975 Harbor Boulevard	None	Fountain Valley	CA	92708-1303	(714) 546-6575	33.731272	-117.920027	116i	992.02
1346226693	1346226693	1	1	Marshall Medical Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	9	El Dorado	None	6065 Highway 193	None	Georgetown	CA	95634-0872	(530) 333-2548	38.908043	-120.851714	22	306.02
1356422307	1356422307	2	1	Mountain Communities	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	53	Trinity	HEALTHCARE DISTRICT	31 Easter Avenue	None	Weaverville	CA	96093-1229	(000) 000-0000	40.73753	-122.939235	224	1.02
1376674770	1376674770	1	1	Mario A Ochoa Md Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	8	Family Practice	0	In state provider	10	Fresno	None	3275 Mccall Ave	Ste 102	Selma	CA	93662-2505	(559) 896-3808	36.582589	-119.610629	30	70.04
1376893420	1376893420	1	1	Mccloud Healthcare Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	INC	4309 Stagecoach Road	None	Dunsmuir	CA	96025-1812	(530) 235-4138	41.222461	-122.278075	198	11
1386065480	1386065480	1	1	Marshall Medical Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	9	El Dorado	None	4341 Golden Center Dr	Bldg A	Placerville	CA	95667-6260	(530) 626-1144	38.705981	-120.827051	23.3	315.02
1386859619	1386859619	1	1	Modern Concepts Med Grp	15-Mar-99	22	PHYSICIANS GROUP	FNP024624	8	Family Practice	0	In state provider	19	Los Angeles	INC	1701 Cesar Chavez Ave	#354	Los Angeles	CA	90033-0000	(323) 221-5366	34.051199	-118.217598	78.2ffff	2035
1407029259	1407029259	1	1	Mision Area Hlth Assoc	3-Jul-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	HEALTH CTR	240 Shotwell St	None	San Francisco	CA	94110-1323	(415) 552-3870	37.76462	-122.41638	162a	177
1447223326	1447223326	1	1	Musinski, Scott E	26-Jan-01	26	PHYSICIANS	G00085560	8	Family Practice	0	In state provider	37	San Diego	None	310 Santa Fe Dr	Ste 112	Encinitas	CA	92024-5123	(760) 632-9600	33.036204	-117.2843	156c	174.01
1467599605	1467599605	1	1	Mbagwu, K N Solomon Md	13-Dec-93	26	PHYSICIANS	G00042217	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1218 S Inglewood Ave	None	Inglewood	CA	90301-3649	(310) 672-4881	33.946609	-118.361324	78.2q	6014.02
1487795753	1487795753	1	1	Moran, Jorge L Md Inc	2-Jan-07	26	PHYSICIANS	A63662	8	Family Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA SAN FELIP	210 S Locust St	None	Inglewood	CA	90301-2304	(310) 673-9920	33.961652	-118.350368	78.2q	6010.01
1528172541	1528172541	1	2	Mch Medical Clinic	2-Oct-06	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	36	San Bernardino	PO BOX 70	29099 Hospital Rd	Ste 200	Lake Arrowhead	CA	92352-0072	(909) 336-9715	34.265922	-117.167117	147	109.02
1538113725	1538113725	1	1	Mendocino Coast Hosp	3-Oct-86	30	GROUND MEDICAL TRANSPORTATION	230191013	None	UNKNOWN	0	In state provider	23	Mendocino	None	700 River Dr	None	Fort Bragg	CA	95437-5403	(707) 964-5381	39.432613	-123.800797	89	105
1538482286	1538482286	1	1	Minevich, Gregory A Md Pmc	22-Mar-10	26	PHYSICIANS	A00093150	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	1	Alameda	None	1290 B St	Ste 305	Hayward	CA	94541-2967	(510) 582-8281	37.676347	-122.077819	2h	4354
1588012124	1588012124	1	1	Mokadem, Hesham El Md Inc	27-Feb-17	22	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	3975 Jackson Street	Suite 110	Riverside	CA	92503-3946	(951) 351-1071	33.927349	-117.441424	135c	316.02
1588012124	1588012124	1	3	Mokadem, Hesham El Md Inc	27-Feb-17	22	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	760 S Washburn Ave	3a	Corona	CA	92882-3303	(951) 734-7200	33.873859	-117.567848	135d	416
1609062389	1609062389	1	1	Marshall Medical Center	12-May-08	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	9	El Dorado	None	1095 Marshall Way	2n Fl	Placerville	CA	95667-5722	(530) 626-3682	38.725203	-120.790637	23.3	312
1669617783	1669617783	1	1	Mountain Comm Healthcare Dst	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	53	Trinity	None	6961 Highway 3	None	Hayfork	CA	96041-0220	(530) 628-5517	40.504781	-123.175191	225	3
1669673646	1669673646	1	1	Madera Community Hospit	7-Jun-10	16	COMMUNITY INPATIENT HOSPITAL	200491281	None	UNKNOWN	0	In state provider	20	Madera	None	1250 E Almond Ave	None	Madera	CA	93637-5696	(209) 673-5101	36.945447	-120.045618	80	5.02
1679645121	1679645121	1	1	Mountain Valleys Health	22-Apr-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	TULELAKE HEALTH CENTER	498 Main St	None	Tulelake	CA	96134-0000	(530) 667-2285	41.947527	-121.47653	196	1
1689760316	1689760316	1	1	Moy, Carl K Md Inc	7-Mar-95	22	PHYSICIANS GROUP	G43977	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	711 W College St	Suite M88	Los Angeles	CA	90012-1163	(213) 626-5151	34.065427	-118.241528	78.2ffff	2071.03
1699767517	1699767517	2	1	M Zarrabi Medical	8-Nov-13	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	CORPORATION	4827 Gage Avenue	None	Bell	CA	90201-1424	(323) 773-3000	33.977217	-118.179412	78.2ddd	5338.04
1700092137	1700092137	1	1	Mad River Comm Hospital	19-Dec-79	15	COMMUNITY OUTPATIENT HOSPITAL	ZZR00028F	None	UNKNOWN	0	In state provider	12	Humboldt	PO BOX 1115	3800 Janes Rd	None	Arcata	CA	95521-4788	(707) 822-3621	40.9036	-124.090373	39	13
1710029616	1710029616	1	1	Maternal- Fetal Medicine	26-Jan-05	22	PHYSICIANS GROUP	FNP029465	None	UNKNOWN	0	In state provider	19	Los Angeles	ASSOCIATES AMC	401 W Manchester Blvd	None	Inglewood	CA	90301-1109	(310) 603-2345	33.961713	-118.361731	78.2q	6014.01
1710199526	1710199526	1	1	Medrano, Jose M Md Pc	8-Feb-11	26	PHYSICIANS	A75641	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2211 W Magnolia Blvd	Suite 250	Burbank	CA	91506-1760	(818) 846-8981	34.172993	-118.331796	78.2ttt	3109
1710370747	1710370747	1	1	Mission City Community	15-Dec-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	NETWORK INC	8527 Sepulveda Boulevard	None	North Hills	CA	91343-5824	(818) 895-3100	34.225117	-118.467683	78.2kk	1175.3
1730258765	1730258765	1	1	Mommy & Me Medical Group	16-Nov-04	22	PHYSICIANS GROUP	FNP029836	None	UNKNOWN	0	In state provider	36	San Bernardino	None	1711 Orange St	None	Redlands	CA	92374-2254	(909) 580-6320	34.079279	-117.182387	151i	80.01
1730258765	1730258765	1	2	Mommy & Me Medical Group	26-Sep-07	22	PHYSICIANS GROUP	FNP092836	None	UNKNOWN	0	In state provider	33	Riverside	None	4190 Chicago Ave	None	Riverside	CA	92507-5348	(951) 683-2106	33.971862	-117.34852	135a	305.01
1730258765	1730258765	1	3	Mommy & Me Medical Group	11-Jul-08	22	PHYSICIANS GROUP	FNP029836	None	UNKNOWN	0	In state provider	33	Riverside	None	1688 N Perris Blvd	Ste H4	Perris	CA	92571-4746	(951) 657-7876	33.802745	-117.226204	133.1	426.2
1730258765	1730258765	1	4	Mommy & Me Medical Group	4-Sep-08	22	PHYSICIANS GROUP	FNP029836	None	UNKNOWN	0	In state provider	33	Riverside	None	498 W 4th St	None	Perris	CA	92570-2070	(951) 943-8899	33.782338	-117.236939	133.1	428
1730258765	1730258765	1	6	Mommy & Me Medical Group	27-Apr-10	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	416 W Foothill Blvd	None	Rialto	CA	92376-4953	(909) 421-0493	34.106816	-117.377276	151h	35.09
1730299157	1730299157	1	1	Morningside Primary Care	15-Dec-05	22	PHYSICIANS GROUP	FNP024384	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CENTER INC	617 W Manchester Ave	None	Los Angeles	CA	90044-5718	(323) 750-9715	33.960064	-118.284871	78.2s	2403
1760409791	1760409791	1	1	Mission City Community	15-Dec-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	NETWORK	15206 Parthenia St	None	North Hills	CA	91343-5305	(818) 895-3100	34.228175	-118.463455	78.2kk	1175.3
1760578413	1760578413	1	1	Moy, Carl K Md Inc	7-Mar-95	22	PHYSICIANS GROUP	G43977	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	500 N Garfield Ave	Ste 104	Monterey Park	CA	91754-1242	(626) 280-3781	34.05624	-118.12471	78.2nn	4822.01
1770516304	1770516304	1	1	Mendocino Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	17	Lake	CLINIC INC	5335 Lakeshore Blvd	None	Lakeport	CA	95453-6123	(707) 468-1010	39.111527	-122.906666	70.1	3
1801184841	1801184841	1	1	Maywood Family Medical	3-Nov-11	26	PHYSICIANS	A00045155	8	Family Practice	0	In state provider	19	Los Angeles	CENTER RAGAA Z ISKAROUS	5920 Atlantic Blvd	None	Maywood	CA	90270-3101	(323) 562-2535	33.986415	-118.185686	78.2ddd	5334.03
1811958952	1811958952	1	1	Mendocino Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	None	333 Laws Ave	None	Ukiah	CA	95482-6540	(707) 468-1010	39.126481	-123.209702	93.1	113
1821132671	1821132671	1	1	Martin, Malverse Md Amc	31-Oct-89	26	PHYSICIANS	G00038477	None	UNKNOWN	0	In state provider	19	Los Angeles	None	22110 Roscoe Blvd	Ste 203	West Hills	CA	91304-3874	(818) 704-5408	34.219627	-118.608082	78.2cccc	1343.04
1851409924	1851409924	1	2	Melba A Berbano Md Inc	24-Mar-08	22	PHYSICIANS GROUP	A00053064	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	39	San Joaquin	None	1801 E March Ln	Ste C320	Stockton	CA	95210-6676	(209) 957-5888	38.003429	-121.285555	169a	34.09
1861420069	1861420069	1	1	Maloney, Patrick L Md	1-Jan-87	26	PHYSICIANS	C00039953	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MAXSON BLDG	933 S Sunset Ave	Ste 106	West Covina	CA	91790-3410	(818) 962-9884	34.064572	-117.942863	78.2www	4067.02
1861670093	1861670093	1	1	Mendocino Coast Clinics Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	None	855 Sequoia Cir	None	Fort Bragg	CA	95437-5466	(707) 964-1251	39.430413	-123.802315	89	105
1891830568	1891830568	1	1	Mosaic Family Care	5-Aug-02	22	PHYSICIANS GROUP	FNP029143	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	4857 Huntington Dr N	None	Los Angeles	CA	90032-1939	(323) 226-9042	34.086261	-118.1784	78.2i	2014.01
1912091018	1912091018	1	1	Marin Comm Clinic	16-Apr-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	None	5 Bon Air Road	Suite 117	Larkspur	CA	94939-1143	(415) 448-1500	37.943695	-122.539762	83a	1200
1912146887	1912146887	1	1	Mls Clinical & Medical	14-Jul-09	26	PHYSICIANS	A80070	8	Family Practice	0	In state provider	19	Los Angeles	CORPORATION	8530 Florence Ave	Ste 101	Downey	CA	90240-4015	(562) 928-4642	33.949426	-118.120969	78.2eee	5506.02
1922020585	1922020585	1	1	Mendocino Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	LITTLE LAKE CLINIC	45 Hazel St	None	Willits	CA	95490-4222	(707) 472-4511	39.399795	-123.352139	91	107
1922179498	1922179498	1	1	Mountain Valleys Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	45	Shasta	FALL RIVER VLY HEALTH CT	43658 Hwy 299e	None	Fall River Mills	CA	96028-0490	(530) 336-6535	41.050027	-121.400829	190	127.02
1922303437	1922303437	1	1	Marin Community Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	SAN RAFAEL CAMPUS	3260 Kerner Blvd	Suite A	San Rafael	CA	94901-4840	(415) 798-3109	37.962024	-122.501986	83b	1122.02
1942416045	1942416045	1	1	Manuel F Mendoza Md Inc	23-Mar-11	26	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11735 Firestone Blvd	None	Norwalk	CA	90650-2808	(562) 925-7716	33.913536	-118.083173	78.2jjjj	5520.02
1952574717	1952574717	1	1	Mission Neighborhood	8-Jul-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	HEALTH CENTER	4434 Mission St	None	San Francisco	CA	94112-1927	(415) 406-1353	37.726694	-122.433397	162c	255
1972503142	1972503142	1	1	Marshall Medical Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	9	El Dorado	None	1100 Marshall Way	None	Placerville	CA	95667-6533	(530) 626-2700	38.725642	-120.79098	23.3	312
1972563617	1972563617	1	1	Medical Grp Of Paramount	10-May-94	22	PHYSICIANS GROUP	FNP21394	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	CLINICA MEDICA HISPANA	14906 Paramount Blvd	None	Paramount	CA	90723-3409	(562) 630-1991	33.898173	-118.160087	78.2ooo	5536.01
1992850150	1992850150	1	1	Mba, Helena O Md Inc	11-Jan-07	26	PHYSICIANS	A00075962	8	Family Practice	0	In state provider	33	Riverside	None	6485 Day St	Ste 203	Riverside	CA	92507-0931	(951) 697-5800	33.931874	-117.278843	135b	425.05