West Sacramento Primary Care Inc. | |
2455 Jefferson Blvd Ste 100 West Sacramento CA 95691-5329 | |
(916) 617-2377 | |
Not Available |
Full Name | West Sacramento Primary Care Inc. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2455 Jefferson Blvd Ste 100, West Sacramento, California |
Authorized Official Name and Position | Ziad Ali (OWNER) |
Authorized Official Contact | 2093345719 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Sacramento Primary Care Inc. 2455 Jefferson Blvd Ste 100 West Sacramento CA 95691-5329 Ph: () - | West Sacramento Primary Care Inc. 2455 Jefferson Blvd Ste 100 West Sacramento CA 95691-5329 Ph: (916) 617-2377 |
NPI Number | 1467053272 |
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Provider Enumeration Date | 11/06/2020 |
Last Update Date | 11/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467053272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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