Organization
GLENL XIONG, MDINC
Active
Other names
Generative Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN L XIONG MD (CEO)
(916) 471-8838
Entity
Organization
Contact information
Practice address
500 JESSIE AVE, SACRAMENTO, CA 95838-2609
(916) 668-0683
(888) 719-2432
Mailing address
2775 18TH ST, SACRAMENTO, CA 95818-3005
(916) 471-8838
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
11/11/2021
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