| California Northstate University, College Of Medicine | |
|
9700 W Taron Dr Elk Grove CA 95757-8145 | |
| (916) 686-7300 | |
| Not Available |
| Full Name | California Northstate University, College Of Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 9700 W Taron Dr, Elk Grove, California |
| Authorized Official Name and Position | Alvin Cheung (PRESIDENT) |
| Authorized Official Contact | 9166867300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Northstate University, College Of Medicine 9700 W Taron Dr Elk Grove CA 95757-8145 Ph: (916) 686-7300 | California Northstate University, College Of Medicine 9700 W Taron Dr Elk Grove CA 95757-8145 Ph: (916) 686-7300 |
| NPI Number | 1952794992 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952794992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 41647 (California) | Primary |
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