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Contact Information

NORTHSTATE MENTAL WELLNESS CLINIC
2920 PROSPECT PARK DRIVE
RANCHO CORDOVA, CA95670
 Phone: 916-686-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for NORTHSTATE MENTAL WELLNESS CLINIC

NPI # 1093558363
LBN Legal business name NORTHSTATE MENTAL WELLNESS CLINIC
Authorized official ALVIN CHEUNG - (PRESIDENT / CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2024
Last updated 06/14/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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