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Organization
SAN LUCAS PEDIATRIC CLINIC, INC.
Active
Organization
SAN LUCAS PEDIATRIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL ANTONIO AREVALO M.D. (PRESIDENT)
(916) 575-9090
Entity
Organization
Contact information
Practice address
4100 E COMMERCE WAY STE 100, SACRAMENTO, CA 95834-9501
(916) 575-9090
(916) 575-9099
Mailing address
4100 E COMMERCE WAY STE 100, SACRAMENTO, CA 95834-9501
(916) 575-9090
(916) 575-9099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A62749
CA
Other
Enumeration date
04/12/2012
Last updated
02/02/2026
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