| Circle Of Life Medicine, Inc | |
|
2382 Maritime Dr #100 Elk Grove CA 95758-3639 | |
| (916) 691-6622 | |
| (916) 691-6629 |
| Full Name | Circle Of Life Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2382 Maritime Dr, Elk Grove, California |
| Authorized Official Name and Position | Jeannette I Frei (OWNER) |
| Authorized Official Contact | 9166916622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Life Medicine, Inc 2382 Maritime Dr #100 Elk Grove CA 95758-3639 Ph: (916) 691-6622 | Circle Of Life Medicine, Inc 2382 Maritime Dr #100 Elk Grove CA 95758-3639 Ph: (916) 691-6622 |
| NPI Number | 1306083118 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306083118 | NPI | - | NPPES |
| 00A608670 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A608670 (California) | Primary |
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