Organization
AIRAM5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FERIL (PRACTICE OWNER)
(408) 786-6760
Entity
Organization
Contact information
Practice address
9245 LAGUNA SPRINGS DR STE 200, ELK GROVE, CA 95758-7991
(408) 786-6760
Mailing address
9245 LAGUNA SPRINGS DR STE 200, ELK GROVE, CA 95758-7991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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