MEDICARE: GARCIA LEE AND CONCEPCION MEDICAL GROUP INC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1417020579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARCIA LEE AND CONCEPCION MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	7248 S LAND PARK DR
Second Line	:	SUITE 205
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3660
Country	:	US
Telephone Number	:	916-421-9769
Fax Number	:

Provider Business Practice Location Address
First Line	:	7248 S LAND PARK DR
Second Line	:	SUITE 205
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3660
Country	:	US
Telephone Number	:	916-392-4000
Fax Number	:	916-392-2722

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANCISCO L. GARCIA
Credential	:	M.D.
Telephone Number	:	916-392-4000

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	12/11/2012

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