Green Haven Family Practice, Inc

NPI 1093137788 - Family Medicine - 207Q00000X

NPI Details
NPI 1093137788
Enumeration Date 01/14/2014
Last Updated 07/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SCARLETT TAN SCARLETT
Position OWNER
Phone (916) 661-5336
Fax (916) 382-4630
Practice Location
1102 CORPORATE WAY
STE 170
SACRAMENTO CA, 95831-3895, US
Phone (916) 661-5336
Fax (916) 382-4630
Business Location
1102 CORPORATE WAY
STE 170
SACRAMENTO CA, 95831-3895, US
Phone (916) 661-5336
Fax (916) 382-4630
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 20A8387
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According to our database, Green Haven Family Practice, Inc NPI is 1093137788, taxonomy code is 207Q00000X and license number is 20A8387, license state is located at California. Green Haven Family Practice, Inc physically located at 1102 Corporate Way, Sacramento CA, 95831-3895. NPI Number 1033115704 has the healthcare provider type.

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1093137788 NPI number is provided on an as is basis without warranty of any kind. 1093137788 is maintained by the National Plan & Provider Enumeration System. The contents of Green Haven Family Practice, Inc are for informational purposes only.