OrganizationActive
Boomer Medical Clinic
NPI 1538458351 · Spinal Cord Injury Medicine Physician · Sacramento, CA
Provider details
- NPI number
- 1538458351
- Entity type
- Organization
- Primary specialty
- Spinal Cord Injury Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kimberly Le, Medical Director
- License
- A46083 (CA)
Mailing address
Po Box 1939
Carmichael, CA 95609-1939
Registry dates
- Enumerated
- 2011-04-01
- Last updated
- 2012-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.