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[PDF File]Facilities & Counselors - UC Davis Health
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CHW Medical Foundation DBA Woodland Clinic Med Davis, CA 95616 530 666 1631 9 530-666-1631 Community Psychiatric Association Davis, CA 95618 ... Omnibus Mental Health Group Davis, CA 95616 530-758-1580 99 Page 3. ... Mercy Medical Group Folsom, CA 95630 916-924-6400 9 Millman, Michael - Ph.D. Psychologist Folsom, CA 95630

[PDF File]Authorization for use and disclosure of health information
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California Pacific Medical Center – Whitney Clinic. 1625 Van Ness St. - 3rd Floor . San Francisco : CA . 94109 (916) 736-5499 . S3ROIDept@sutterhealth.org : Eden Medical Center Outpatient Rehab Services. 14207 14th St. San Leandro . CA : 94578 (916) 736-5499 : S3ROIDept@sutterhealth.org Eden Medical Center, Castro Valley. 20103 Lake Chabot Rd ...

[PDF File]#4 - ACTIVE CALIFORNIA MEDICAL GROUPS*, IN ALPHA …
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#4 - ACTIVE CALIFORNIA MEDICAL GROUPS*, IN ALPHA ORDER as of Quarter Ending Sep 30, 2015 Robin Affrime, MPH, CEO CommuniCare Health Centers 2051 John Jones Rd Davis, CA 95616-9701 Community Clinic w/Employed and/or Contracted Physicians Phone (530) 753-3498 Fax(530) 758-2109 Ron Brandt, Administrator Community Family Care Medical Group IPA

[PDF File]AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED …
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Medical Record or Account #: (Facility use only) I AUTHORIZE: Woodland Clinic Medical Group Barba/Bringhurst, MD Woodland Clinic - Davis 1207 Fairchild Court 2660 W. Covell Blvd. Davis CA 95616 239 W. Court Street, Suite B Woodland CA 95695 Woodland CA 95695 Dr. Dr. Dr. TO DISCLOSE TO: (Persons/organizations authorized to receive the information)

2019 Medical Group List for the Access+ HMO plan
2019 Medical Group List for the Access+ HMO plan ... UC Irvine Health Medical Group Orange UC Davis Health System Auburn Placer Alpha Care Medical Group Region 3 Hemet Valley Riverside ... Sutter Medical Group Yolo Division Yolo Woodland Clinic Yolo REVISED 07/18/18

Mercy Medical Group and Woodland Clinic Receive Highest ...
Woodland Clinic, a service of Dignity Health Medical Foundation, is a multi-specialty group of more than 130 medical providers and 300 Dignity Health Medical Foundation employees providing services in six locations throughout Woodland and Davis, California. For more information on Dignity Health Medical Foundation d/b/a Woodland Clinic and the ...

[PDF File]Yolo County Medi-Cal Provider Directory
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Care Provider Selection Form. Call our Members Services Department to make sure the doctor or medical group is available. 3.Return the Primary Care Selection Form to PHC using the enclosed postage paid return envelope. 4.You can access some Medi-Cal benefits without an authorization from your PCP. Please refer to your Member

[PDF File]Providers Accepting MedCal 06.2009v - Yolo County Foster ...
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Davis, CA 95616 530-753-2020 Susan Lee, DDS Mark R. Helmus OD 353 2nd Street Davis, CA 95616 530-758-2122 * Will See Woodland Wayne Schrader, OD 1109 Kennedy Pl., Ste. 1 Davis, CA 95616 (530) 756-2481 SACRAMENTO Dennis Guerreri, OD 5725 14th Ave. 95820 916-457-0289 WEST SACRAMENTO Mathew Wampler, OD 2101 Stone Blvd, Ste 150 916-372-3090 WOODLAND

[PDF File]YOLO COUNTY YOLO COUNTY PUBLIC ASSISTANCE RE …
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Davis Location . 600 A Street . Davis, CA 95616 . West Sacramento Office . 500 Jefferson Street . West Sacramento, CA 95605 . Winters Location . 111 East Grant Avenue . Winters, CA 95694 . Woodland Office . 25 North Cottonwood Street . Woodland, CCA 95695 . Woodland Office . 137 North Cottonwood Street . Woodland, CCA 95695 . MEDICATION DROP ...

AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED …
Mercy Medical Group . Sacramento, CA 95827 . A Service of Dignity Health Medical Foundation. Phone: (916) 363-4040 Fax: (916) 366-3662 . AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION. Note: Fee May Apply to Certain Request and Records will be Delivered within 15 Business Days

Woodland medical group davis ca