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Organization
GREENHAVEN FAMILY PRACTICE, INC
Active
Organization
GREENHAVEN FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCARLETT TAN LU D.O. (OWNER)
(916) 661-5336
Entity
Organization
Contact information
Practice address
1102 CORPORATE WAY, STE 170, SACRAMENTO, CA 95831-3895
(916) 661-5336
(916) 382-4630
Mailing address
1102 CORPORATE WAY, STE 170, SACRAMENTO, CA 95831-3895
(916) 661-5336
(916) 382-4630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A8387
CA
Other
Enumeration date
01/14/2014
Last updated
05/16/2025
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