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500 Capitol Mall Ste 2350 Sacramento CA 95814-4737 | |
| (844) 542-5481 | |
| (877) 237-0105 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Capitol Mall Ste 2350, Sacramento, California |
| Authorized Official Name and Position | Ryan Jacob Vega (OWNER) |
| Authorized Official Contact | 5045209805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
303 Twin Dolphin Dr Ste 600-6002 Redwood City CA 94065-1497 Ph: (844) 542-5481 | 500 Capitol Mall Ste 2350 Sacramento CA 95814-4737 Ph: (844) 542-5481 |
| NPI Number | 1144055302 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 8123551173 |
|---|---|
| Medicare Enrollment ID | O20241029002420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144055302 | NPI | - | NPPES |
| Provider Name | Elaine Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134738040 PECOS PAC ID: 5092135624 Enrollment ID: I20241030001818 |
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