Organization Name: | ADVANCED PRACTICE PRIMARY CARE A REGISTERED NURSING CORPORATION |
NPI Number: | 1588064646 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSS LAUGER (PRESIDENT) |
Mailing Address: | 9267 Greenback Ln Suite C2 Orangevale |
State: | CA US |
Postal Code: | 956624863 |
Phone Number: | 9165391449 |
Fax Number: | 8889901397 |
NPI Enumeration Date: | 08/26/2014 |
NPI Last Update Date: | 11/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 444430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |