Organization
LAGUNA FAMILY PRACTICE
Active
Other names
Trinity Total Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENDA GOODWIN M.D. (PRESIDENT)
(916) 691-4300
Entity
Organization
Contact information
Practice address
9281 OFFICE PARK CIR, SUITE 120, ELK GROVE, CA 95758-8068
(916) 691-4300
Mailing address
9281 OFFICE PARK CIRCLE, SUITE 120, ELK GROVE, CA 95758
(916) 691-4300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A71660
CA
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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