Life Family Medicine Clinic, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A11874 Issued in CA

Legal business name

LIFE FAMILY MEDICINE CLINIC, INC

Practice address

7275 E Southgate Dr
Ste 102
Sacramento, CA 95823-2628

Phone

(916) 704-1458

NPI assigned

Oct 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sou Her, D.O

Title

Majority Owner

Phone

(916) 706-1458

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amrik Singh Sidhu, M.D.

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1073618500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1063815165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR",
            "address_2": "STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR",
            "address_2": "STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232628",
            "telephone_number": "916-704-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FAMILY MEDICINE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "SOU",
        "authorized_official_title_or_position": "MAJORITY OWNER",
        "authorized_official_telephone_number": "916-706-1458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28085",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yen Ngoc Lieu, D.M.D.
• Humberto Lievanos
• Martha Lievanos
• Emily Lievre, RBT
• Life & Liberation Corp.
• Life House Reentry (Life House)
• Life Practice Counseling Group
• Life Practice Counseling Group (Life Practice Outreach)
• Life Skills Training and Educational Programs, Inc.
• Life Steps Consulting

• Family Medicine Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.