Healthcare Provider Details

I. General information

NPI: 1093757445
Provider Name (Legal Business Name): BRENT EDWARD VANHOOZEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MEDICAL PLAZA DR SUITE 190
ROSEVILLE CA
95661-2865
US

IV. Provider business mailing address

1300 ETHAN WAY STE 600
SACRAMENTO CA
95825-2296
US

V. Phone/Fax

Practice location:
  • Phone: 916-786-7498
  • Fax: 916-786-2715
Mailing address:
  • Phone: 916-786-7498
  • Fax: 916-786-2715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG71047
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG71047
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: