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Individual

ROBERT SANGCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9281 OFFICE PARK CIR STE 146, ELK GROVE, CA 95758-8096
(916) 601-7115
Mailing address
9281 OFFICE PARK CIR STE 146, ELK GROVE, CA 95758-8096
(916) 601-7115

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
134229
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MTN01148F
MEDI - CAL PROVIDER NUMBE
CA
Enumeration date
04/17/2007
Last updated
05/09/2016
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