Organization
ALI STARKES MEDICAL GROUP
Active
Parent organization
ALI STARKES MEDICAL GROUP
Other names
SOUTHPORT URGENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALI STARKES MEDICAL GROUP
Authorized official
MARGARET KAPASI (MANAGING ADMINISTRATOR)
(916) 501-0728
Entity
Organization
Contact information
Practice address
2455 JEFFERSON BLVD, SUITE 100, WEST SACRAMENTO, CA 95691-5313
(916) 226-6190
(916) 226-6195
Mailing address
3605 AGNETA COURT, C/O MICALIMAR & ASSOCIATES, ELK GROVE, CA 95758-0040
(916) 226-6190
(916) 226-6195
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369430
FNP
CA
Enumeration date
09/09/2009
Last updated
10/14/2009
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