| Nutrition Based Integrative Medicine | |
|
758 University Ave Sacramento CA 95825-6703 | |
| (916) 564-3300 | |
| (916) 927-1831 |
| Full Name | Nutrition Based Integrative Medicine |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 758 University Ave, Sacramento, California |
| Authorized Official Name and Position | Wayne Daniel (OWNER) |
| Authorized Official Contact | 9165643300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Based Integrative Medicine 9115 Yellow Flower Pl Fair Oaks CA 95628-6563 Ph: (916) 564-3300 | Nutrition Based Integrative Medicine 758 University Ave Sacramento CA 95825-6703 Ph: (916) 564-3300 |
| NPI Number | 1760738413 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760738413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 20A10508 (California) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 20A10508 (California) | Secondary |
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