Provider Demographics
NPI:1922526250
Name:AUBURN MEDICAL CLINIC
Entity Type:Organization
Organization Name:AUBURN MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SULTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUFZAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-889-6300
Mailing Address - Street 1:3227 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2473
Mailing Address - Country:US
Mailing Address - Phone:530-889-6300
Mailing Address - Fax:
Practice Address - Street 1:3227 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2473
Practice Address - Country:US
Practice Address - Phone:530-889-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANCHO CORDOVA MEDICAL CLINIC AND URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127254261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center