| |
3610 American River Drive Suite 140 Sacramento CA 95864 | |
(916) 574-1000 | |
(916) 574-1001 |
Full Name | |
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Speciality | Clinic/center |
Location | 3610 American River Drive, Sacramento, California |
Authorized Official Name and Position | Jess Joslin (INSURANCE CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 3037318164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3610 American River Drive Suite 140 Sacramento CA 95864 Ph: (916) 574-1000 | 3610 American River Drive Suite 140 Sacramento CA 95864 Ph: (916) 574-1000 |
NPI Number | 1700054020 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 09/24/2024 |
Certification Date | 09/24/2024 |
Identifier | Type | State | Issuer |
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1700054020 | NPI | - | NPPES |
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