Individual
DMITRIY SAZONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1146
Mailing address
2150 STOCKTON BOULEVARD, SACRAMENTO, CA 95817
(916) 875-1146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/05/2013
Last updated
06/05/2025
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