Healthcare Provider Details

I. General information

NPI: 1811398720
Provider Name (Legal Business Name): ALL INCLUSIVE MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 09/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 PRAIRIE CITY RD STE 125
FOLSOM CA
95630-4042
US

IV. Provider business mailing address

1710 PRAIRIE CITY RD STE 125
FOLSOM CA
95630-4042
US

V. Phone/Fax

Practice location:
  • Phone: 916-414-9055
  • Fax: 916-414-9054
Mailing address:
  • Phone: 916-414-9055
  • Fax: 916-414-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC55199
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA102853
License Number StateCA

VIII. Authorized Official

Name: DR. ALOK KRISHNA
Title or Position: VICE-PRESIDENT
Credential: M.D.
Phone: 916-414-9055