OrganizationActive
Emergency Neurosurgery Services Medical Group, Inc.
NPI 1801120035 · Emergency Medical Services (Emergency Medicine) Physician · Roseville, CA
Provider details
- NPI number
- 1801120035
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melinda Kotko, Biller(916) 771-3393
- License
- G38223 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1301 Secret Ravine Pkwy
Ste 200
Roseville, CA 95661-3096
Phone: (916) 771-3393
Fax: (916) 771-3445
Approximate (ZIP-level) locationGet directions
Mailing address
1301 Secret Ravine Pkwy
Roseville, CA 95661-3096
Registry dates
- Enumerated
- 2009-09-21
- Last updated
- 2009-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.