Organization
DAVID TEICHEIRA MD PC
Active
Organization
DAVID TEICHEIRA MD PC
Active
Other names
David Teicheira, MD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PAUL TEICHEIRA M.D. (CHIEF EXECUTIVE OFFICER)
(916) 923-0900
Entity
Organization
Contact information
Practice address
730 ALHAMBRA BLVD, SUITE 205, SACRAMENTO, CA 95816-3847
(916) 923-0900
(916) 923-0901
Mailing address
PO BOX 207, DAVIS, CA 95617-0207
(530) 923-0900
(530) 923-0901
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G60747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BQ239
MEDICARE PTAN
—
Enumeration date
11/02/2008
Last updated
06/24/2015
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