Organization
CAPITAL MEDICAL EXTENDED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDAN CHEEMA M.D. (MEDICAL DIRECTOR)
(916) 241-9844
Entity
Organization
Contact information
Practice address
6608 MERCY CT STE C, FAIR OAKS, CA 95628-3171
(916) 241-9844
Mailing address
7190 SIERRA DR, GRANITE BAY, CA 95746-9583
(408) 768-6866
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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