Sosa, Gustavo

Sosa, Gustavo is an individual health care provider with primary practice located at 2825 Capitol Ave, Fl 1 Ste 1S118, Sacramento CA 95816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Sosa, Gustavo can be contacted via phone (916) 887-0104.

Contact Information

Primary practice address
2825 Capitol Ave, Fl 1 Ste 1S118 Sacramento CA 95816
Phone: (916) 887-0104
Fax: (916) 887-0112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G61005 California

Profile Details

NPI number 1932191533
LBN Legal business name Sosa, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jun 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932191533 NPPES
California MEDICAID 00G610050

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