Healthcare Provider Details

I. General information

NPI: 1316927387
Provider Name (Legal Business Name): CATHERINE SYLVIE SALLENAVE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST PSSB, G500
SACRAMENTO CA
95817-1460
US

IV. Provider business mailing address

4150 V ST
SACRAMENTO CA
95817-1460
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3741
  • Fax: 916-734-7766
Mailing address:
  • Phone: 916-734-3815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA78288
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: