Provider Demographics
NPI:1285249359
Name:FIRST ACCESS MEDICAL, INC.
Entity type:Organization
Organization Name:FIRST ACCESS MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ-SAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:MMA, BSN
Authorized Official - Phone:916-459-9166
Mailing Address - Street 1:5525 DEWEY DR STE 106
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3130
Mailing Address - Country:US
Mailing Address - Phone:916-877-8511
Mailing Address - Fax:
Practice Address - Street 1:5525 DEWEY DR STE 106
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3130
Practice Address - Country:US
Practice Address - Phone:916-877-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty