# SENIOR CARE CLINIC HOUSE CALLS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821409178
- **Authorized official:** RON BILLANO ORDONA (CLINICIAN TEAM LEAD)
- **Authorized official phone:** (916) 543-1593

## Contact information

- **Practice address:** 89 LINCOLN BLVD, SUITE 100, LINCOLN, CA 95648-6315
- **Practice address phone:** (916) 543-1593
- **Mailing address:** 89 LINCOLN BLVD, SUITE 100, LINCOLN, CA 95648-6315
- **Mailing address phone:** (916) 543-1593
- **Mailing address fax:** (877) 466-7829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | FNP543348 | CA | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | FNP543348 | CA | — |

## Other

- **Enumeration date:** 05/08/2014
- **Last updated:** 06/21/2020