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Organization

SACRAMENTO EAR NOSE & THROAT SURGICAL & MEDICAL GROUP INC

Active
Other names
Sacramento Ear, Nose, & Throat
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NINA LI (CFO)
(916) 736-3399
Entity
Organization

Contact information

Practice address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 736-3350
Mailing address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 233-4171

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207Y00000X
Otolaryngology Physician
Primary
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
231H00000X
Audiologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP5499
RR MEDICARE PIN
CA
05
GR0010460
CA
Enumeration date
05/24/2005
Last updated
05/14/2026
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