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NPI Code Detail

MEDICARE: SANDRA KAMBA

MEDICARE: SANDRA KAMBA
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
1163WG0000XGeneral Practice Registered Nurse95065306CA
2363LP2300XPrimary Care Nurse PractitionerNP95021536CA

General Provider Information

NPI Number : 1962134692
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA KAMBA
Provider Business Mailing Address
First Line : 7708 E PORT DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-5613
Country : US
Telephone Number : 323-620-6484
Fax Number :
Provider Business Practice Location Address
First Line : 965 EL CAMINO AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-2530
Country : US
Telephone Number : 916-642-1867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2022
Last Update Date : 07/21/2022

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Directions to “ SANDRA KAMBA ” Practice Location

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