Sacramento Ear, Nose, & Throat

LBN: Sacramento Ear Nose & Throat Surgical & Medical Group Inc
Sacramento Ear, Nose, & Throat is an health care organization with primary practice located at 1111 Exposition Blvd Bldg 700, Sacramento CA 95815-4300. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Sacramento Ear Nose & Throat Surgical & Medical Group Inc can be contacted via phone (916) 736-6670, or through Dudley, Jeffrey W via phone (916) 736-6670.

Contact Information

Primary practice address
1111 Exposition Blvd Bldg 700 Sacramento CA 95815-4300
Phone: (916) 736-6670
Fax: (916) 233-4171
Website:
Map and Directions
Authorized official contact:
Name: Dudley, Jeffrey W
Phone: (916) 736-6670

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1497758155
LBN Legal business name Sacramento Ear Nose & Throat Surgical & Medical Group Inc
DBA Doing business as Sacramento Ear, Nose, & Throat
Authorized official Dudley, Jeffrey W
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Sep 22nd, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497758155 NPPES
California Other CP5499 RR MEDICARE PIN
California MEDICAID GR0010460 RR MEDICARE PIN

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