location
search-icon
institution
West Sacramentopediatric Medical Group,inc
Clinic/Center in West Sacramento, California
NPI 1215009212

West Sacramentopediatric Medical Group,inc is a Clinic/Center based in West Sacramento, CA. West Sacramentopediatric Medical Group,inc practices in West Sacramento, CA. The NPI Number for West Sacramentopediatric Medical Group,inc is 1215009212 and holds a License No. 208000000X (California).

The current practice location address for West Sacramentopediatric Medical Group,inc is 1050 Jefferson Blvd, West Sacramento, CA and can be reached out via phone at 916-371-3787 and via fax at 916-371-3790.

Location: 1050 Jefferson Blvd, West Sacramento, CA, 95691-3304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215009212
Provider Name
West Sacramentopediatric Medical Group,inc
Credential
Provider Entity Type
Organization
Address
1050 Jefferson Blvd, West Sacramento, CA, 95691-3304
Phone Number
916-371-3787
Fax Number
916-371-3790
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GR0101570 01 CA GROUP NUMBER FOR CHDP
1841836 01 CA PIN
institution
Provider Business Practice Location Address Details
Address
1050 Jefferson Blvd
City
West Sacramento
State
California
Zip
95691-3304
Phone Number
916-371-3787
Fax Number
916-371-3790
person
Provider Business Mailing Address Details
Address
1050 Jefferson Blvd
City
West Sacramento
State
California
Zip
95691-3304
Phone Number
916-371-3787
Fax Number
916-371-3790
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
208000000X (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.