Organization
SGR MEDICAL SOLUTIONS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BUSSARD (OWNER)
(916) 868-9513
Entity
Organization
Contact information
Practice address
2717 CABERNET WAY, RANCHO CORDOVA, CA 95670-4811
(916) 868-9513
(916) 647-0280
Mailing address
2717 CABERNET WAY, RANCHO CORDOVA, CA 95670-4811
(916) 868-9513
(916) 647-0280
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
103-114781
CA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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