Organization
CITY OF SACRAMENTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL LEGASPI (ADMINISTRATIVE OFFICER)
(916) 808-4593
Entity
Organization
Contact information
Practice address
3230 J ST, SACRAMENTO, CA 95816-4405
(916) 264-5352
Mailing address
3230 J STREET, SACRAMENTO, CA 95816-4405
(916) 808-5352
(916) 808-5060
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00733F
—
CA
Enumeration date
01/02/2007
Last updated
12/14/2023
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