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Organization
EASTERN MEDICAL CENTER PROFESSIONAL MEDICAL CORPORATION
Active
Organization
EASTERN MEDICAL CENTER PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Eastern Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LI LI M.D. (CEO)
(916) 972-8966
Entity
Organization
Contact information
Practice address
2930 EASTERN AVE, SACRAMENTO, CA 95821-4210
(916) 972-8966
(916) 972-8916
Mailing address
2930 EASTERN AVE, SACRAMENTO, CA 95821-4210
(916) 972-8966
(916) 972-8916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A65618
CA
207R00000X
Internal Medicine Physician
A83360
CA
208D00000X
General Practice Physician
A73749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134230220
NPI
CA
01
—
1710959523
NPI
CA
01
—
1912973520
NPI
CA
Enumeration date
11/18/2009
Last updated
12/23/2009
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