Healthcare Provider Details

I. General information

NPI: 1861906455
Provider Name (Legal Business Name): PALATNIK SMITH HEALTH CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2017
Last Update Date: 06/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 ELKHORN BLVD STE C
SACRAMENTO CA
95842
US

IV. Provider business mailing address

5255 ELKHORN BLVD STE C
SACRAMENTO CA
95842-2506
US

V. Phone/Fax

Practice location:
  • Phone: 916-334-1100
  • Fax: 916-334-1105
Mailing address:
  • Phone: 916-334-1100
  • Fax: 916-334-1105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIK SMITH
Title or Position: VICE PRESIDENT
Credential: PA-C
Phone: 916-334-1100