Hickory California Pc

Internal Medicine · Sonora, CA

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At a glance

19929 Greenley Rd, Sonora, CA 95370-5996

NPPES record updated Sep 8, 2025. Public records can lag behind changes at a practice.

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Practice location

19929 Greenley Rd
Sonora, CA 95370-5996

Professional details: NPI, taxonomy & registry record

NPI1194608869

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Registry details

Primary taxonomy: Internal Medicine
Taxonomy code: 207R00000X
Enumeration date: Jul 29, 2025
Record updated: Sep 8, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Internal Medicine

207R00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

19929 Greenley Rd
Sonora, CA 95370-5996

Phone: (814) 499-3009

Mailing address

15 AMERICA AVE UNIT 103

LAKEWOOD, NJ 087014583

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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