Organization directory

<UNAVAIL> fax numbers

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12619 BENTLEY ST, WATERFORD, CA, 95386-9011
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1528433588
Practice address
12619 BENTLEY ST, WATERFORD, CA, 95386-9011
Telephone
(209) 442-6200
Provider specialty
See registry classification 261QF0400X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

Before sending, call the listed office to confirm the fax number and the documents it accepts. Report a correction with this page's address and a public source link; do not include private documents.

Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(209) 394-9093
NPI 1528433588

12619 BENTLEY ST, WATERFORD, CA, 95386-9011

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source