MEDICARE: LL MEDICAL CLINIC CA PC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1336019744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LL MEDICAL CLINIC CA PC

Provider Business Mailing Address
First Line	:	1325 J ST STE 1550
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-2976
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 J ST STE 1550
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-2976
Country	:	US
Telephone Number	:	646-877-3138
Fax Number	:

Authorized Official
Title or Position	:	GC
Name	:	ADI PATEL
Credential	:
Telephone Number	:	646-887-3138

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	02/03/2026

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Directions to “LL MEDICAL CLINIC CA PC ” Practice Location

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