Organization
CALIFORNIA MATERNAL FETAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ALLEN (EXECUTIVE DIRECTOR)
(916) 603-5600
Entity
Organization
Contact information
Practice address
100 HOWE AVE STE 186N, SACRAMENTO, CA 95825-8219
(916) 603-5600
(855) 815-4684
Mailing address
1645 CREEKSIDE DR, FOLSOM, CA 95630-3832
(916) 603-5600
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386286979
NPI
CA
Enumeration date
10/15/2019
Last updated
08/21/2024
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