# SACRAMENTO PEDIATRIC GASTROENTEROLOGY,INC.

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

## Provider details

- **NPI number:** 1982958351
- **Authorized official:** YINKA KARI DAVIES MD (PEDIATRIC GASTROENTEROLOGIST)
- **Authorized official phone:** (916) 332-1244

## Contact information

- **Practice address:** 5767 GREENBACK LN, SUITE 200, SACRAMENTO, CA 95841-2013
- **Practice address phone:** (916) 332-1244
- **Practice address fax:** (916) 760-4147
- **Mailing address:** 5767 GREENBACK LN, SUITE 200, SACRAMENTO, CA 95841-2013
- **Mailing address phone:** (916) 332-1244
- **Mailing address fax:** (916) 760-4147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A71235 | CA | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 02/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A721350 | — | CA |