# KODY SACKS-MOYNIHAN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215633805
- **Authorized official:** DR. KODY SACKS-MOYNIHAN MD (PRESIDENT)
- **Authorized official phone:** (530) 304-5639

## Contact information

- **Practice address:** 4001 J ST, SACRAMENTO, CA 95819-3626
- **Practice address phone:** (916) 756-9805
- **Mailing address:** 917 SAN SEBASTIAN ST, DAVIS, CA 95618-6515
- **Mailing address phone:** (530) 304-5639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/06/2023