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Children's Medical Clinic
Specialist in Roseville, California
NPI 1821158114

Children's Medical Clinic is a Specialist based in Roseville, CA. Children's Medical Clinic practices in Roseville, CA. The NPI Number for Children's Medical Clinic is 1821158114 and holds a License No. G031541 (California).

The current practice location address for Children's Medical Clinic is 729 Sunrise Ave, Roseville, CA and can be reached out via phone at 916-786-5800 and via fax at 916-773-3001.

Location: 729 Sunrise Ave, Roseville, CA, 95661-4565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821158114
Provider Name
Children's Medical Clinic
Credential
Provider Entity Type
Organization
Address
729 Sunrise Ave, Roseville, CA, 95661-4565
Phone Number
916-786-5800
Fax Number
916-773-3001
Provider Enumeration Date
12/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A44802 05 CA
institution
Provider Business Practice Location Address Details
Address
729 Sunrise Ave
City
Roseville
State
California
Zip
95661-4565
Phone Number
916-786-5800
Fax Number
916-773-3001
person
Provider Business Mailing Address Details
Address
729 Sunrise Ave
City
Roseville
State
California
Zip
95661-4565
Phone Number
916-786-5800
Fax Number
916-773-3001
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G031541 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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