Organization
SACRAMENTO PEDIATRIC GASTROENTEROLOGY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YINKA KARI DAVIES MD (PEDIATRIC GASTROENTEROLOGIST)
(916) 332-1244
Entity
Organization
Contact information
Practice address
5767 GREENBACK LN, SUITE 200, SACRAMENTO, CA 95841-2013
(916) 332-1244
(916) 760-4147
Mailing address
5767 GREENBACK LN, SUITE 200, SACRAMENTO, CA 95841-2013
(916) 332-1244
(916) 760-4147
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A71235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A721350
—
CA
Enumeration date
11/06/2012
Last updated
02/22/2013
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