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NPI Code Detail

MEDICARE: ELK GROVE FAMILY PHYSICIANS MEDICAL GROUP INC

MEDICARE: ELK GROVE FAMILY PHYSICIANS 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
1207Q00000XFamily Medicine PhysicianA068134CA

General Provider Information

NPI Number : 1962599118
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELK GROVE FAMILY PHYSICIANS MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 9727 ELK GROVE FLORIN RD
Second Line : STE. 140
City : ELK GROVE
State : CA
Zip : 95624-2264
Country : US
Telephone Number : 916-686-7373
Fax Number : 916-686-7374
Provider Business Practice Location Address
First Line : 9727 ELK GROVE FLORIN RD
Second Line : STE. 140
City : ELK GROVE
State : CA
Zip : 95624-2264
Country : US
Telephone Number : 916-686-7373
Fax Number : 916-686-7374
Authorized Official
Title or Position : OWNER
Name : JANET L YU
Credential : MD
Telephone Number : 916-686-7373
Provider Enumeration Date : 10/09/2006
Last Update Date : 08/10/2010

Similar Medicare Providers

1104820950 — MICHAEL WANG OD.
Practice Location Address:
9727 ELK GROVE FLORIN RD , #190
ELK GROVE, CA
95624-2264
Practice Phone: 916-686-5165
Practice Fax: 916-686-5865
1265424568 — DR. PENNY LYNN PHIPPS DDS
Practice Location Address:
9727 ELK GROVE FLORIN RD , SUITE 200
ELK GROVE, CA
95624-2264
Practice Phone: 916-685-3777
Practice Fax:
1083606388 — DR. PETER KIN TUNG NGAI DMD
Practice Location Address:
9727 ELK GROVE FLORIN RD , SUITE 200
ELK GROVE, CA
95624-2264
Practice Phone: 916-685-3777
Practice Fax:
1417972472 — JANET LI YU M.D.
Practice Location Address:
9727 ELK GROVE FLORIN RD , SUITE 140
ELK GROVE, CA
95624-2264
Practice Phone: 916-686-7373
Practice Fax: 916-686-7374
1154430403 — DR. ROGER J REICH DDS
Practice Location Address:
9727 ELK GROVE FLORIN RD , SUITE 270
ELK GROVE, CA
95624-2264
Practice Phone: 916-685-2105
Practice Fax: 916-714-1142
1578657573 — DR. LYNN M BUTTINO O.D.
Practice Location Address:
9727 ELK GROVE FLORIN RD , SUITE 190
ELK GROVE, CA
95624-2264
Practice Phone: 916-686-5165
Practice Fax: 916-686-5865

Directions to “ELK GROVE FAMILY PHYSICIANS MEDICAL GROUP INC ” Practice Location

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