Healthcare Provider Details

I. General information

NPI: 1508841537
Provider Name (Legal Business Name): DANIEL PETER LINK JR. MD FACR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY AVE STE 250
SACRAMENTO CA
95825-6525
US

IV. Provider business mailing address

10638 BIRCH RANCH DR
SACRAMENTO CA
95830-7001
US

V. Phone/Fax

Practice location:
  • Phone: 916-680-9510
  • Fax: 916-680-9550
Mailing address:
  • Phone: 916-689-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberG18653
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: