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CARL HALLER MD A MEDICAL CORPORATION NPI 1851644082


NPI Information

NPI: 1851644082
Provider Name: CARL HALLER, MD, A MEDICAL CORPORATION
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3609 MISSION AVE., STE D
CARMICHAEL (COUNTY OF SACRAMENTO), CA
ZIP 95608
Phone: (916) 483-3437
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CARL HALLER, MD, A MEDICAL CORPORATION is a geriatric medicine internal medicine in Carmichael (county Of Sacramento), CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CARL HALLER, MD, A MEDICAL CORPORATION NPI is 1851644082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3609 MISSION AVE., STE D
CARMICHAEL (COUNTY OF SACRAMENTO), CA
ZIP 95608-955
Phone: (916) 483-3437
Fax: (916) 483-3218

The provider's authorized official is Carl Haller .
The authorized official title is President, Sole Owner Of Corporatio and has the following contact phone number (916) 483-3437.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineCALIFORNIAG9581CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A58938MEDICARE UPINCALIFORNIA
2136655214301MEDICAIDCALIFORNIA
3000G95810MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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