Organization
SENIOR CARE CLINIC HOUSE CALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON BILLANO ORDONA (CLINICIAN TEAM LEAD)
(916) 543-1593
Entity
Organization
Contact information
Practice address
89 LINCOLN BLVD, SUITE 100, LINCOLN, CA 95648-6315
(916) 543-1593
Mailing address
89 LINCOLN BLVD, SUITE 100, LINCOLN, CA 95648-6315
(916) 543-1593
(877) 466-7829
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
FNP543348
CA
363LP2300X
Primary Care Nurse Practitioner
FNP543348
CA
Other
Enumeration date
05/08/2014
Last updated
06/21/2020
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