Carl Haller, Md, A Medical Corporation | |
3609 Mission Ave., Ste D Carmichael (county Of Sacramento) CA 95608-2955 | |
(916) 483-3437 | |
(916) 483-3218 |
Full Name | Carl Haller, Md, A Medical Corporation |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 3609 Mission Ave., Ste D, Carmichael (county Of Sacramento), California |
Authorized Official Name and Position | Carl Haller (PRESIDENT, SOLE OWNER OF CORPORATIO) |
Authorized Official Contact | 9164833437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carl Haller, Md, A Medical Corporation 3609 Mission Ave., Ste D Carmichael (county Of Sacramento) CA 95608-2955 Ph: (916) 483-3437 | Carl Haller, Md, A Medical Corporation 3609 Mission Ave., Ste D Carmichael (county Of Sacramento) CA 95608-2955 Ph: (916) 483-3437 |
NPI Number | 1851644082 |
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Provider Enumeration Date | 10/25/2012 |
Last Update Date | 10/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851644082 | NPI | - | NPPES |
136655214301 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | CALIFORNIAG9581 (California) | Primary |