| Sacramento Skilled Nursing And Long Term Care Medical Group Inc. | |
|
1133 42 Nd Street Sacramento CA 95819 | |
| (530) 320-6227 | |
| (916) 538-6056 |
| Full Name | Sacramento Skilled Nursing And Long Term Care Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1133 42 Nd Street, Sacramento, California |
| Authorized Official Name and Position | Fikir Morkoc (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5303206227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacramento Skilled Nursing And Long Term Care Medical Group Inc. P.o.box 163090 Sacramento CA 95816 Ph: (530) 320-6227 | Sacramento Skilled Nursing And Long Term Care Medical Group Inc. 1133 42 Nd Street Sacramento CA 95819 Ph: (530) 320-6227 |
| NPI Number | 1114306289 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Medicare PECOS PAC ID | 2668781907 |
|---|---|
| Medicare Enrollment ID | O20151027002538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114306289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G79846 (California) | Primary |
| Provider Name | Fikir Morkoc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134295272 PECOS PAC ID: 6305739350 Enrollment ID: I20040204000655 |
| Provider Name | Glen L Xiong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114945102 PECOS PAC ID: 6103829007 Enrollment ID: I20060815000181 |
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