Provider Demographics
NPI:1417020579
Name:GARCIA LEE AND CONCEPCION MEDICAL GROUP INC
Entity Type:Organization
Organization Name:GARCIA LEE AND CONCEPCION MEDICAL GROUP INC
Other - Org Name:RIVER BEND MEDICAL ASSOCIATES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-392-4000
Mailing Address - Street 1:7248 S LAND PARK DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3660
Mailing Address - Country:US
Mailing Address - Phone:916-421-9769
Mailing Address - Fax:
Practice Address - Street 1:7248 S LAND PARK DR
Practice Address - Street 2:SUITE 205
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3660
Practice Address - Country:US
Practice Address - Phone:916-392-4000
Practice Address - Fax:916-392-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ13639ZMedicare PIN