Organization
CAPITAL ALLERGY AND RESPIRATORY DISEASE CENTER A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENNA DAKIN (BILLING MANAGER)
(916) 233-2613
Entity
Organization
Contact information
Practice address
5609 J STREET, SUITE C, SACRAMENTO, CA 95819
(916) 453-8696
(916) 453-8715
Mailing address
1451 SECRET RAVINE PKWY, SUITE 150, ROSEVILLE, CA 95661
(916) 453-8696
(916) 453-8715
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
CA
Other
Enumeration date
04/09/2007
Last updated
06/09/2022
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