Provider Demographics
NPI:1700875572
Name:MU, JAMES C (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:MU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2410 SONOMA ST STE 1
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3029
Mailing Address - Country:US
Mailing Address - Phone:530-243-3339
Mailing Address - Fax:530-243-3582
Practice Address - Street 1:2410 SONOMA ST
Practice Address - Street 2:SUITE 1
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3029
Practice Address - Country:US
Practice Address - Phone:530-243-3339
Practice Address - Fax:530-243-3582
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2019-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG69148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G691480Medicaid
00G691480Medicare ID - Type Unspecified
CA00G691480Medicaid