Organization
AIOGEN MEDICAL THERAPY UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHON RYAN BROWN (DIRECTOR)
(415) 770-8242
Entity
Organization
Contact information
Practice address
2626 LA MESA WAY, SACRAMENTO, CA 95825-0337
(415) 710-6439
Mailing address
2626 LA MESA WAY, SACRAMENTO, CA 95825-0337
(415) 710-6439
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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