Organization
POCKET PEDIATRIC MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEY THI DOMINGUEZ (MANAGER)
(916) 422-7273
Entity
Organization
Contact information
Practice address
1355 FLORIN RD STE 10, SACRAMENTO, CA 95822-4200
(916) 422-7273
(916) 422-2127
Mailing address
1355 FLORIN RD STE 10, SACRAMENTO, CA 95822-4200
(916) 422-7273
(916) 422-2127
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
225933
CA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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