MEDICARE: SACRAMENTO HEART & VASCUALER

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	174400000X	Specialist

General Provider Information

NPI Number	:	1811001472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACRAMENTO HEART & VASCUALER

Provider Business Mailing Address
First Line	:	8120 TIMBERLAKE WAY STE 207
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5414
Country	:	US
Telephone Number	:	916-688-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	8120 TIMBERLAKE WAY STE 207
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5414
Country	:	US
Telephone Number	:	916-688-1600
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KAREN GERGEN
Credential	:
Telephone Number	:	916-830-2046

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/22/2020

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Directions to “SACRAMENTO HEART & VASCUALER ” Practice Location

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