# POCKET PEDIATRIC MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1235551037
- **Authorized official:** MEY THI DOMINGUEZ (MANAGER)
- **Authorized official phone:** (916) 422-7273

## Contact information

- **Practice address:** 1355 FLORIN RD STE 10, SACRAMENTO, CA 95822-4200
- **Practice address phone:** (916) 422-7273
- **Practice address fax:** (916) 422-2127
- **Mailing address:** 1355 FLORIN RD STE 10, SACRAMENTO, CA 95822-4200
- **Mailing address phone:** (916) 422-7273
- **Mailing address fax:** (916) 422-2127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 225933 | CA | Yes |

## Other

- **Enumeration date:** 01/13/2014
- **Last updated:** 01/13/2014