Va Nchcs

NPI 1104895440 - Clinic/Center - 261QU0200X

NPI Details
NPI 1104895440
Enumeration Date 03/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID DAVID
Position CHIEF, MEDICINE SERVICE
Phone (916) 366-5406
Fax (916) 843-7323
Practice Location
10535 HOSPITAL WAY
MATHER CA, 95655-4200, US
Phone (916) 366-5406
Fax (916) 843-7323
Business Location
11400 SABALO WAY
GOLD RIVER CA, 95670-6206, US
Phone
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State California
License Number A81456
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According to our database, Va Nchcs NPI is 1104895440, taxonomy code is 261QU0200X and license number is A81456, license state is located at California. Va Nchcs physically located at 10535 Hospital Way, Mather CA, 95655-4200. NPI Number 1033115704 has the healthcare provider type.

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1104895440 NPI number is provided on an as is basis without warranty of any kind. 1104895440 is maintained by the National Plan & Provider Enumeration System. The contents of Va Nchcs are for informational purposes only.