Organization
PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE EFSTRATIS (CPC, BUSINESS SERVICES MANAGER)
(916) 679-3524
Entity
Organization
Contact information
Practice address
1300 ETHAN WAY, SUITE 600, SACRAMENTO, CA 95825-2211
(916) 482-7623
(916) 679-3563
Mailing address
1300 ETHAN WAY, SUITE 600, SACRAMENTO, CA 95825-2211
(916) 482-7623
(916) 679-3563
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084A2900X
Neurocritical Care Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071170
—
CA
05
—
GR0071171
—
CA
Enumeration date
07/10/2006
Last updated
02/01/2022
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