| Sacramento Family Medical Center | |
|
2928 Eastern Ave Sacramento CA 95821-4210 | |
| (916) 971-6702 | |
| (916) 971-6709 |
| Full Name | Sacramento Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2928 Eastern Ave, Sacramento, California |
| Authorized Official Name and Position | Kendrick Que (COO) |
| Authorized Official Contact | 9162284300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacramento Family Medical Center Po Box 15470 Sacramento CA 95851-0470 Ph: (916) 228-4300 | Sacramento Family Medical Center 2928 Eastern Ave Sacramento CA 95821-4210 Ph: (916) 971-6702 |
| NPI Number | 1083722516 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083722516 | NPI | - | NPPES |
| GR0053756 | Medicaid | CA | |
| DA5949 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 320200 (California) | Primary |
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