Healthcare Provider Details

I. General information

NPI: 1285845735
Provider Name (Legal Business Name): SHER INSTITUTE FOR REPRODUCTIVE MEDICINE SACRAMENTO MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2288 AUBURN BLVD SUITE 204
SACRAMENTO CA
95821-1618
US

IV. Provider business mailing address

5320 S RAINBOW BLVD SUITE 300
LAS VEGAS NV
89118-1840
US

V. Phone/Fax

Practice location:
  • Phone: 916-568-2125
  • Fax: 916-567-1360
Mailing address:
  • Phone: 702-794-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC050102
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberC050102
License Number StateCA

VIII. Authorized Official

Name: DR. ELLEN SNOWDEN
Title or Position: DOCTOR
Credential: MD
Phone: 925-251-0592