Organization
GREATER SACRAMENTO MED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG THANH NGO M.D. (PRESIDENT)
(916) 363-8888
Entity
Organization
Contact information
Practice address
515 MICHIGAN BLVD, WEST SACRAMENTO, CA 95691-2705
(916) 363-8888
Mailing address
515 MICHIGAN BLVD, WEST SACRAMENTO, CA 95691-2705
(916) 363-8888
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37275
CA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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