| Northern California Vasectomy | |
|
9045 Bruceville Rd Ste 100b Elk Grove CA 95758 | |
| (916) 627-1117 | |
| (916) 226-2656 |
| Full Name | Northern California Vasectomy |
|---|---|
| Speciality | Family Medicine |
| Location | 9045 Bruceville Rd Ste 100b, Elk Grove, California |
| Authorized Official Name and Position | Chirag Patel (PRACTICE OWNER) |
| Authorized Official Contact | 9166271117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Vasectomy 9045 Bruceville Rd Ste 100b Elk Grove CA 95758-5950 Ph: (916) 627-1117 | Northern California Vasectomy 9045 Bruceville Rd Ste 100b Elk Grove CA 95758 Ph: (916) 627-1117 |
| NPI Number | 1134628712 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 05/29/2018 |
| Medicare PECOS PAC ID | 1456607928 |
|---|---|
| Medicare Enrollment ID | O20180713001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134628712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chirag A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558772830 PECOS PAC ID: 5395042865 Enrollment ID: I20170915003104 |
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