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3911 Norwood Ave Sacramento CA 95838-3361 | |
| (916) 929-8575 | |
| (916) 929-3548 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3911 Norwood Ave, Sacramento, California |
| Authorized Official Name and Position | William Hunt (GROUP PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 9168512082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3911 Norwood Ave Sacramento CA 95838-3361 Ph: (916) 929-8575 | 3911 Norwood Ave Sacramento CA 95838-3361 Ph: (916) 929-8575 |
| NPI Number | 1306008222 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306008222 | NPI | - | NPPES |
| DA5161 | Other | RAILROAD MEDICARE | |
| GR0091670 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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