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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

NPI # 1497758155
LBN Legal business name SACRAMENTO EAR NOSE & THROAT SURGICAL & MEDICAL GROUP INC
Authorized official NINA LI - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 05/14/2026 - About 3 weeks ago
Identifiers
CA Medicaid GR0010460
CA Other CP5499 RR MEDICARE PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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