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Organization

MERCADO MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEJANDRO MERCADO M.D. (PRESIDENT / PHYSICIAN)
(916) 550-2488
Entity
Organization

Contact information

Practice address
1813 PROFESSIONAL DR, SACRAMENTO, CA 95825-2162
(916) 550-2488
(916) 550-2925
Mailing address
1813 PROFESSIONAL DR, SACRAMENTO, CA 95825-2162
(916) 550-2488
(916) 550-2925

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A 56343
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376601286
NPI
CA
01
1700837689
NPI
CA
Enumeration date
10/24/2010
Last updated
02/03/2014
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