Organization Name: | SCHOOLS INTEGRATED MEDICAL SOLUTIONS |
NPI Number: | 1023465184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BAN G TRUONG (CHIEF MEDICAL OFFICER) |
Mailing Address: | 305 Wool St Folsom |
State: | CA US |
Postal Code: | 956302550 |
Phone Number: | 9167607540 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2016 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 20A9831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |