Individual
DR. EUGENIO GOTARD AMPARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY AVE, SACRAMENTO, CA 95825-6504
(916) 830-2000
Mailing address
500 UNIVERSITY AVE, SACRAMENTO, CA 95825-6504
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
C41052
CA
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
C41052
CA
2471C3402X
Radiography Radiologic Technologist
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C41052
MEDICARE
CA
Enumeration date
08/07/2007
Last updated
08/07/2007
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