WEST COAST MEDICAL CARE PROFESSIONAL CORPORATION NPI 1861888331

NPI Information

WEST COAST MEDICAL CARE PROFESSIONAL CORPORATION is an adult medicine family medicine in Sacramento, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. WEST COAST MEDICAL CARE PROFESSIONAL CORPORATION NPI is 1861888331. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5350 MADISON AVE
SACRAMENTO, CA
ZIP 95841-169
Phone: (916) 677-0008
Fax: (916) 515-9994

The provider's authorized official is Aleksander Usorov .
The authorized official title is Owner/provider and has the following contact phone number (916) 677-0008.

The CLIA number assigned to this NPI record is 05D2098121 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2015 and was last updated on 1/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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