# SACRAMENTO VALLEY PEDIATRICS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** pediatric medical center of sacramento
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326583030
- **Authorized official:** PERLA-INEZ R MAULINO M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (916) 681-1130

## Contact information

- **Practice address:** 7501 HOSPITAL DR, SUITE 203, SACRAMENTO, CA 95823-5405
- **Practice address phone:** (916) 681-1130
- **Practice address fax:** (916) 681-1180
- **Mailing address:** 7501 HOSPITAL DR, SUITE 203, SACRAMENTO, CA 95823-5405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 95005332 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 01/04/2017