Individual
MR. GUSTAVO SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 CAPITOL AVE, FL 1, STE 1S118, SACRAMENTO, CA 95816
(916) 887-0104
(916) 887-0112
Mailing address
2750 GATEWAY OAKS DR STE 150, SACRAMENTO, CA 95833-3668
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G61005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G610050
—
CA
Enumeration date
08/19/2005
Last updated
06/15/2018
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