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NPI 1831567734 · Preferred Provider Organization · Placerville, CA
Provider details
- NPI number
- 1831567734
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Authorized official
- Martin Pawson, Owner
Mailing address
2716 Coloma St
Placerville, CA 95667-3472
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2015-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.