# JUDITH A MIKACICH MD INC

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

## Provider details

- **NPI number:** 1831423359
- **Authorized official:** DR. JUDITH A MIKACICH MD (PRESIDENT)
- **Authorized official phone:** (916) 927-3178

## Contact information

- **Practice address:** 2277 FAIR OAKS BLVD, 355, SACRAMENTO, CA 95825-5500
- **Practice address phone:** (916) 927-3178
- **Practice address fax:** (916) 927-1488
- **Mailing address:** 2277 FAIR OAKS BLVD, 355, SACRAMENTO, CA 95825-5533
- **Mailing address phone:** (916) 927-3178
- **Mailing address fax:** (916) 927-1488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A73791 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 12/22/2009