| Prax Medical Ca, Pc | |
|
2108 N St # 10310 Sacramento CA 95816-5712 | |
| (415) 336-5090 | |
| Not Available |
| Full Name | Prax Medical Ca, Pc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 2108 N St # 10310, Sacramento, California |
| Authorized Official Name and Position | Mark Shen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5127797276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prax Medical Ca, Pc 2108 N St # 10310 Sacramento CA 95816-5712 Ph: () - | Prax Medical Ca, Pc 2108 N St # 10310 Sacramento CA 95816-5712 Ph: (415) 336-5090 |
| NPI Number | 1346051943 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346051943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
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