| Laguna Family Practice | |
|
9281 Office Park Cir Suite 120 Elk Grove CA 95758-8068 | |
| (916) 691-4300 | |
| Not Available |
| Full Name | Laguna Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 9281 Office Park Cir, Elk Grove, California |
| Authorized Official Name and Position | Glenda Goodwin (PRESIDENT) |
| Authorized Official Contact | 9166914300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Family Practice 9281 Office Park Circle Suite 120 Elk Grove CA 95758 Ph: (916) 691-4300 | Laguna Family Practice 9281 Office Park Cir Suite 120 Elk Grove CA 95758-8068 Ph: (916) 691-4300 |
| NPI Number | 1093010159 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093010159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A71660 (California) | Primary |
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