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Sacramento Pediatric Gastroenterology,inc.
Medical Specialty Clinic/Center in Sacramento, California
NPI 1982958351

Sacramento Pediatric Gastroenterology,inc. is a Medical Specialty Clinic/Center based in Sacramento, CA and is specialized in Medical Specialty. Sacramento Pediatric Gastroenterology,inc. practices in Sacramento, CA. The NPI Number for Sacramento Pediatric Gastroenterology,inc. is 1982958351 and holds a License No. A71235 (California).

The current practice location address for Sacramento Pediatric Gastroenterology,inc. is 5767 Greenback Ln, Sacramento, CA and can be reached out via phone at 916-332-1244 and via fax at 916-760-4147.

Location: 5767 Greenback Ln, Sacramento, CA, 95841-2013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982958351
Provider Name
Sacramento Pediatric Gastroenterology,inc.
Credential
Provider Entity Type
Organization
Address
5767 Greenback Ln, Sacramento, CA, 95841-2013
Phone Number
916-332-1244
Fax Number
916-760-4147
Provider Enumeration Date
11/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A721350 05 CA
institution
Provider Business Practice Location Address Details
Address
5767 Greenback Ln
City
Sacramento
State
California
Zip
95841-2013
Phone Number
916-332-1244
Fax Number
916-760-4147
person
Provider Business Mailing Address Details
Address
5767 Greenback Ln
City
Sacramento
State
California
Zip
95841-2013
Phone Number
916-332-1244
Fax Number
916-760-4147
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A71235 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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