Organization
CALIFORNIA NORTHSTATE UNIVERSITY, COLLEGE OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN CHEUNG (PRESIDENT)
(916) 686-7300
Entity
Organization
Contact information
Practice address
9700 W TARON DR, ELK GROVE, CA 95757-8145
(916) 686-7300
Mailing address
9700 W TARON DR, ELK GROVE, CA 95757-8145
(916) 686-7300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
41647
CA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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