| Elk Grove Clinical Research | |
|
930 Alhambra Blvd Ste 230 Sacramento CA 95816-4433 | |
| (916) 385-4438 | |
| Not Available |
| Full Name | Elk Grove Clinical Research |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 930 Alhambra Blvd Ste 230, Sacramento, California |
| Authorized Official Name and Position | Kirk Jay Austin (CEO) |
| Authorized Official Contact | 9165137027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Grove Clinical Research 7807 Laguna Blvd Ste 480 Elk Grove CA 95758-7953 Ph: (916) 513-7027 | Elk Grove Clinical Research 930 Alhambra Blvd Ste 230 Sacramento CA 95816-4433 Ph: (916) 385-4438 |
| NPI Number | 1710414933 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710414933 | NPI | - | NPPES |
| 1962848374 | Medicaid | CA | |
| 1124313093 | Medicaid | CA | |
| 1689712317 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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