# RIVER CITY MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVER CITY MEDICAL GROUP, INC.
- **Other names:** Sacramento Family Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790893303
- **Legal business name:** RIVER CITY MEDICAL GROUP, INC.
- **Authorized official:** MR. KENDRICK QUE (COO)
- **Authorized official phone:** (916) 228-4300

## Contact information

- **Practice address:** 3000 L STREET, SUITE 114, SACRAMENTO, CA 95816-5248
- **Practice address phone:** (916) 737-7121
- **Practice address fax:** (916) 737-7135
- **Mailing address:** PO BOX 15470, SACRAMENTO, CA 95851-0470
- **Mailing address phone:** (916) 228-4300
- **Mailing address fax:** (916) 382-4202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 107567 | CA | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 06/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0053753 | — | CA |