Rocklin Family Practice And Sports Medicine

LBN: Rocklin Family Practice And Sports Medicine
Rocklin Family Practice And Sports Medicine is an health care organization with primary practice located at 3104 Sunset Blvd #2B, Rocklin CA 95677. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Rocklin Family Practice And Sports Medicine can be contacted via phone (916) 624-0300, or through Harris, Roy Mc via phone (916) 624-0300.

Contact Information

Primary practice address
3104 Sunset Blvd #2B Rocklin CA 95677
Phone: (916) 624-0300
Fax: (916) 624-0631
Website:
Map and Directions
Authorized official contact:
Name: Harris, Roy Mc Doctor of Medicine (MD)
Phone: (916) 624-0300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1790798908
LBN Legal business name Rocklin Family Practice And Sports Medicine
DBA Doing business as
Authorized official Harris, Roy Mc Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790798908 NPPES
California MEDICAID 00G639720

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