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Organization
DOC PK INC
Active
Organization
DOC PK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARDEEP KAHLON MD (PHYSICIAN)
(408) 475-5590
Entity
Organization
Contact information
Practice address
4700 NORTHGATE BLVD STE 100, SACRAMENTO, CA 95834-1149
(916) 929-6161
Mailing address
4700 NORTHGATE BLVD STE 100, SACRAMENTO, CA 95834-1149
(916) 929-6161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QP2400X
Prison Health Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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