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1601 Response Rd Ste 385 Sacramento CA 95815-5260 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1601 Response Rd Ste 385, Sacramento, California |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | 1601 Response Rd Ste 385 Sacramento CA 95815-5260 Ph: (714) 828-1800 |
| NPI Number | 1336727965 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336727965 | NPI | - | NPPES |
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