Sacramento Ear, Nose, & Throat
LBN: Sacramento Ear Nose & Throat Surgical & Medical Group Inc
Sacramento Ear, Nose, & Throat is an health care organization with primary practice located at 1111 Exposition Blvd Bldg 700, Sacramento CA 95815-4300. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Sacramento Ear Nose & Throat Surgical & Medical Group Inc can be contacted via phone (916) 736-6670, or through Dudley, Jeffrey W via phone (916) 736-6670.
Contact Information
Primary practice address
1111 Exposition Blvd Bldg 700
Sacramento CA 95815-4300
Phone: (916) 736-6670
Fax: (916) 233-4171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | ||
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X |
Profile Details
| NPI number | 1497758155 |
|---|---|
| LBN Legal business name | Sacramento Ear Nose & Throat Surgical & Medical Group Inc |
| DBA Doing business as | Sacramento Ear, Nose, & Throat |
| Authorized official | Dudley, Jeffrey W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Sep 22nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497758155 | NPPES |
| California | Other | CP5499 | RR MEDICARE PIN |
| California | MEDICAID | GR0010460 | RR MEDICARE PIN |
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