Basic Information
| Provider Information | |||||||||
| NPI: | 1417020579 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GARCIA LEE AND CONCEPCION MEDICAL GROUP INC | ||||||||
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| OtherOrganizationName: | RIVER BEND MEDICAL ASSOCIATES, INC. | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7248 S LAND PARK DR | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958313660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164219769 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7248 S LAND PARK DR | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958313660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163924000 | ||||||||
| FaxNumber: | 9163922722 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2006 | ||||||||
| LastUpdateDate: | 12/11/2012 | ||||||||
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| AuthorizedOfficialLastName: | GARCIA | ||||||||
| AuthorizedOfficialFirstName: | FRANCISCO | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9163924000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.