Organization
EYE SITE SACRAMENTO MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M VAN DUYN (MANAGER)
(916) 452-8105
Entity
Organization
Contact information
Practice address
4925 J ST, SACRAMENTO, CA 95819-3828
(916) 452-8105
(916) 452-4659
Mailing address
4925 J ST, SACRAMENTO, CA 95819-3828
(916) 452-8105
(916) 452-4659
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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