Provider Demographics
NPI:1023465184
Name:SCHOOLS INTEGRATED MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:SCHOOLS INTEGRATED MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DO, PHD
Authorized Official - Phone:916-760-7540
Mailing Address - Street 1:305 WOOL ST
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2550
Mailing Address - Country:US
Mailing Address - Phone:916-760-7540
Mailing Address - Fax:
Practice Address - Street 1:305 WOOL ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2550
Practice Address - Country:US
Practice Address - Phone:916-760-7540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9831261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service