FOLSOM LAKE PRIMARY CARE PC

FOLSOM, CA
NPI1043705718
Entity TypeOrganization
Authorized ContactHADI FIROZ
President
916-790-0450
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  C56218)
Enumeration Date2018-06-26
Last Update Date2018-06-26
Business Address
FOLSOM LAKE PRIMARY CARE PC
2575 E BIDWELL ST STE 210
FOLSOM, CA 95630-6446
Phone number: 916-984-7850
Mailing Address
FOLSOM LAKE PRIMARY CARE PC
271 AMERICAN RIVER CANYON DR
FOLSOM, CA 95630-7143
Phone number: