Organization
COMMUNITY NEONATOLOGY OF SACRAMENTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA NORDBERG (ACCOUNTS ADMINISTRATOR)
(949) 492-3514
Entity
Organization
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5135
Mailing address
PO BOX 1359, SAN CLEMENTE, CA 92674-1359
(949) 492-3514
(949) 366-2390
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
3166137
CA
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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