Organization · Type 2 NPI

Nutrition Based Integrative Medicine

Adult Medicine Physician · Sacramento, CA

NPI number 1760738413 Active

Practice location

758 University Ave
Sacramento, CA 95825-6703

Fax (916) 927-1831

Mailing address

9115 Yellow Flower Pl
Fair Oaks, CA 95628-6563

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X20A10508 (CA)
Sports Medicine (Family Medicine) Physician 207QS0010X20A10508 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1760738413

Nutrition Based Integrative Medicine's National Provider Identifier is 1760738413, issued on Jul 31, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Sacramento, CA. The record was last updated on Jul 31, 2012.