| Dynamic Vitals, Inc. | |
|
1401 21st St Ste R Sacramento CA 95811-5226 | |
| (650) 703-9362 | |
| Not Available |
| Full Name | Dynamic Vitals, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 21st St Ste R, Sacramento, California |
| Authorized Official Name and Position | Sonia Jhurani (CEO) |
| Authorized Official Contact | 6507039362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Vitals, Inc. 1401 21st St Ste R Sacramento CA 95811-5226 | Dynamic Vitals, Inc. 1401 21st St Ste R Sacramento CA 95811-5226 Ph: (650) 703-9362 |
| NPI Number | 1124995642 |
|---|---|
| Provider Enumeration Date | 10/20/2025 |
| Last Update Date | 10/20/2025 |
| Certification Date | 10/20/2025 |
| Medicare PECOS PAC ID | 3577058320 |
|---|---|
| Medicare Enrollment ID | O20251219001128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124995642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Sonia Jhurani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215279526 PECOS PAC ID: 2365739851 Enrollment ID: I20160927002519 |
| Provider Name | Glenhall Elmer Taylor |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982456133 PECOS PAC ID: 4981179637 Enrollment ID: I20260409002648 |
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