Organization
VILLAGE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA PESSARAN M.D (OWNER/PHYSICIAN)
(916) 344-8866
Entity
Organization
Contact information
Practice address
6437 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4021
(916) 344-8866
Mailing address
6437 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4021
(916) 344-8866
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A89855
CA
Other
Enumeration date
02/21/2008
Last updated
02/28/2008
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