Organization
SACRAMENTO MIDTOWN ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M ARENSON M.D. (CFO)
(916) 454-0655
Entity
Organization
Contact information
Practice address
3941 J ST, SUITE 460, SACRAMENTO, CA 95819-3624
(916) 733-6940
(916) 733-6934
Mailing address
3941 J ST, SUITE 460, SACRAMENTO, CA 95819-3624
(916) 733-6940
(916) 733-6934
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
CLN218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
551083
BLUE CROSS PROV NUMBER
CA
05
—
SUR51083F
—
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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