Healthcare Provider Details
I. General information
NPI: 1669988408
Provider Name (Legal Business Name): SACRAMENTO ANESTHESIA CONSULTANTS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2017
Last Update Date: 12/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2288 AUBURN BLVD
SACRAMENTO CA
95821-1618
US
IV. Provider business mailing address
PO BOX 7096
STOCKTON CA
95267-0096
US
V. Phone/Fax
- Phone: 916-929-7229
- Fax:
- Phone: 209-956-7732
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
G
SCHELLER
Title or Position: OWNER
Credential: MD
Phone: 209-956-7725