| Loomis Medical Clinic | |
|
6135 King Rd Suite A Loomis CA 95650-8877 | |
| (916) 652-0427 | |
| (916) 652-4197 |
| Full Name | Loomis Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6135 King Rd, Loomis, California |
| Authorized Official Name and Position | Gary Alan Gramm (PHYSICIAN) |
| Authorized Official Contact | 9166520427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loomis Medical Clinic 6135 King Rd Suite A Loomis CA 95650-8877 Ph: (916) 652-0427 | Loomis Medical Clinic 6135 King Rd Suite A Loomis CA 95650-8877 Ph: (916) 652-0427 |
| NPI Number | 1174707921 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174707921 | NPI | - | NPPES |
| ZZZ94479Z | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A4617 (California) | Primary |