| Tri River Medicine Inc. | |
|
7260 E Southgate Dr Ste D Sacramento CA 95823-2609 | |
| (916) 428-7990 | |
| Not Available |
| Full Name | Tri River Medicine Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7260 E Southgate Dr Ste D, Sacramento, California |
| Authorized Official Name and Position | Tan Duong (CEO) |
| Authorized Official Contact | 9162280482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri River Medicine Inc. 7260 E Southgate Dr Ste D Sacramento CA 95823-2609 Ph: () - | Tri River Medicine Inc. 7260 E Southgate Dr Ste D Sacramento CA 95823-2609 Ph: (916) 428-7990 |
| NPI Number | 1861092868 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 12/16/2020 |
| Medicare PECOS PAC ID | 0042622870 |
|---|---|
| Medicare Enrollment ID | O20201218001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861092868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tan Huu Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174027395 PECOS PAC ID: 3678724861 Enrollment ID: I20201218001205 |
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