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Organization
SACRAMENTO ANESTHESIA MEDICAL GROUP, INC.
Active
Organization
SACRAMENTO ANESTHESIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JOHNSON (PRESIDENT)
(916) 733-6996
Entity
Organization
Contact information
Practice address
3939 J ST, SACRAMENTO, CA 95819-3631
(916) 733-6996
Mailing address
3315 WATT AVE, SACRAMENTO, CA 95821-3600
(916) 481-0777
(916) 977-1265
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
84509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY20507Y
—
CA
Enumeration date
11/14/2006
Last updated
06/21/2018
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