Healthcare Provider Details

I. General information

NPI: 1831175413
Provider Name (Legal Business Name): CELIA REMY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 TURN PIKE DR
FOLSOM CA
95630-8098
US

IV. Provider business mailing address

5271 GARLENDA DR
EL DORADO HILLS CA
95762-5533
US

V. Phone/Fax

Practice location:
  • Phone: 916-985-9350
  • Fax: 916-355-1455
Mailing address:
  • Phone: 916-933-1178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA066944
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: