Individual
JEFFREY L GENZLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PLAZA DR, #140, ROSEVILLE, CA 95661-3037
(916) 797-4715
(916) 797-4716
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A66955
CA
208M00000X
Hospitalist Physician
Primary
A66955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A669550
—
CA
Enumeration date
08/31/2006
Last updated
05/18/2015
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