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2727 W Capitol Ave West Sacramento CA 95691-2220 | |
(916) 371-2275 | |
(916) 371-8649 |
Full Name | |
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Speciality | Family Medicine |
Location | 2727 W Capitol Ave, West 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 |
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Po Box 15470 Sacramento CA 95851-0470 Ph: (916) 228-4300 | 2727 W Capitol Ave West Sacramento CA 95691-2220 Ph: (916) 371-2275 |
NPI Number | 1366550956 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 04/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366550956 | NPI | - | NPPES |
GR0053755 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 5641 (California) | Primary |
West Sacramentopediatric Medical Group,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Jefferson Blvd, West Sacramento, CA 95691 Phone: 916-371-3787 Fax: 916-371-3790 | |
Live Well Medical Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Michigan Blvd, West Sacramento, CA 95691 Phone: 916-368-0816 | |