Organization
WEST COAST MEDICAL CARE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDER USOROV MD (OWNER/PROVIDER)
(916) 677-0008
Entity
Organization
Contact information
Practice address
5350 MADISON AVE, SACRAMENTO, CA 95841-3169
(916) 677-0008
(916) 515-9994
Mailing address
5350 MADISON AVE, SACRAMENTO, CA 95841-3169
(916) 677-0008
(916) 515-9994
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A93634
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A93634
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
04/12/2015
Last updated
01/12/2016
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