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Organization

KODY SACKS-MOYNIHAN, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KODY SACKS-MOYNIHAN MD (PRESIDENT)
(530) 304-5639
Entity
Organization

Contact information

Practice address
4001 J ST, SACRAMENTO, CA 95819-3626
(916) 756-9805
Mailing address
917 SAN SEBASTIAN ST, DAVIS, CA 95618-6515
(530) 304-5639

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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