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Contact Information

SACRAMENTO EAR NOSE & THROAT SURGICAL & MEDICAL GROUP INC
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA95815-4314
 Phone: 916-736-3399
 Fax: 916-736-3350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Audiologist

231H00000X 64 Audiologist
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SACRAMENTO EAR NOSE THROAT SURGICAL MEDICAL GROUP INC · (Female)

NPI Number 1497758155
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2005
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0010460
  • CA Other CP5499 RR MEDICARE PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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