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Organization
RIVER CITY MEDICAL GROUP, INC.
Active
Organization
RIVER CITY MEDICAL GROUP, INC.
Active
Parent organization
RIVER CITY MEDICAL GROUP, INC.
Other names
Sacramento Family Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVER CITY MEDICAL GROUP, INC.
Authorized official
MR. KENDRICK QUE (ADMINISTRATOR)
(916) 228-4300
Entity
Organization
Contact information
Practice address
10390 COLOMA RD, SUITE B, RANCHO CORDOVA, CA 95670-2152
(916) 363-2229
(916) 363-2440
Mailing address
PO BOX 15470, SACRAMENTO, CA 95851-0470
(916) 228-4300
(916) 382-4202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0053754
—
CA
Enumeration date
08/25/2006
Last updated
04/01/2016
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