Organization
PRIMARY CARE FAMILY MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK JOHN MULLIN FNP (MANAGER)
(916) 689-2121
Entity
Organization
Contact information
Practice address
7501 HOSPITAL DR, SUITE 205, SACRAMENTO, CA 95823-5405
(916) 689-2121
(916) 689-2198
Mailing address
7501 HOSPITAL DR, SUITE 205, SACRAMENTO, CA 95823-5405
(916) 689-2121
(916) 689-2198
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
FNP34722
CA
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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