| Gastroenterology Consultants Medical Group Inc. | |
|
8120 Timberlake Way Ste 101 Sacramento CA 95823-5412 | |
| (916) 423-2124 | |
| (916) 423-2127 |
| Full Name | Gastroenterology Consultants Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 8120 Timberlake Way, Sacramento, California |
| Authorized Official Name and Position | Tina Marie Johnston (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9164232123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Medical Group Inc. 8120 Timberlake Way Ste 101 Sacramento CA 95823-5412 Ph: (916) 423-2124 | Gastroenterology Consultants Medical Group Inc. 8120 Timberlake Way Ste 101 Sacramento CA 95823-5412 Ph: (916) 423-2124 |
| NPI Number | 1548234289 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 11/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548234289 | NPI | - | NPPES |
| ZZZ80876Z | Medicaid | CA | |
| CP6115 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | FNP 5539 (California) | Primary |
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