Boomer Medical Clinic

LBN: Boomer Medical Clinic
Boomer Medical Clinic is an health care organization with primary practice located at 3525 Watt Ave , Sacramento CA 95821. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is the primary health care specialty. Boomer Medical Clinic can be contacted via phone (916) 480-0707, or through Le, Kimberly via phone (916) 480-0707.

Contact Information

Primary practice address
3525 Watt Ave Sacramento CA 95821
Phone: (916) 480-0707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Le, Kimberly Doctor of Medicine (MD)
Phone: (916) 480-0707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A46083 California
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X G72879 California

Profile Details

NPI number 1538458351
LBN Legal business name Boomer Medical Clinic
DBA Doing business as
Authorized official Le, Kimberly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2011
Last updated Feb 20th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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