Rocklin Family Practice And Sports Medicine
Family Medicine in Rocklin, CA. Organization (NPI-2).
NPI number1790798908
StatusActive
Last updated in NPPESApr 4, 2017
Details
- NPI
- 1790798908
- Entity type
- Organization (NPI-2)
- Legal business name
- Rocklin Family Practice And Sports Medicine
- Organization subpart
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Apr 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207RS0010X | Internal Medicine, Sports Medicine | – | – | |
| 207QS0010X | Family Medicine, Sports Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Practice location
3104 Sunset Blvd#2b
Rocklin, CA 95677
Phone 916-624-0300 · Fax 916-624-0631
Mailing address
3104 Sunset Blvd#2b
Rocklin, CA 95677
Phone 916-624-0300 · Fax 916-624-0631
Authorized official
Roy Mc Harris
President
9166240300
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