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NPI Code Detail

MEDICARE: ALICIA SCHLENZ MD

MEDICARE: ALICIA SCHLENZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianA112912CA
2207Q00000XFamily Medicine PhysicianA164837CA

General Provider Information

NPI Number : 1053862284
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA SCHLENZ MD
Provider Business Mailing Address
First Line : PO BOX 255228
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5228
Country : US
Telephone Number : 855-771-0335
Fax Number :
Provider Business Practice Location Address
First Line : 2951 BENEFIT WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1272
Country : US
Telephone Number : 916-285-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 12/20/2023

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