| Carl Haller, Md, A Medical Corporation | |
|
3609 Mission Ave., Ste D Carmichael (county Of Sacramento) CA 95608-2955 | |
| (916) 483-3437 | |
| (916) 483-3218 |
| Full Name | Carl Haller, Md, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3609 Mission Ave., Ste D, Carmichael (county Of Sacramento), California |
| Authorized Official Name and Position | Carl Haller (PRESIDENT, SOLE OWNER OF CORPORATIO) |
| Authorized Official Contact | 9164833437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Haller, Md, A Medical Corporation 3609 Mission Ave., Ste D Carmichael (county Of Sacramento) CA 95608-2955 Ph: (916) 483-3437 | Carl Haller, Md, A Medical Corporation 3609 Mission Ave., Ste D Carmichael (county Of Sacramento) CA 95608-2955 Ph: (916) 483-3437 |
| NPI Number | 1851644082 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851644082 | NPI | - | NPPES |
| 136655214301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | CALIFORNIAG9581 (California) | Primary |