| Virtuoso Psychiatry Group | |
|
5040 Woodspring Ct Granite Bay CA 95746-8838 | |
| (530) 902-7875 | |
| (916) 784-2610 |
| Full Name | Virtuoso Psychiatry Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5040 Woodspring Ct, Granite Bay, California |
| Authorized Official Name and Position | Phacharawut J Kanchananakhin (PRESIDENT) |
| Authorized Official Contact | 5309027875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtuoso Psychiatry Group 5040 Woodspring Ct Granite Bay CA 95746-8838 Ph: (530) 902-7875 | Virtuoso Psychiatry Group 5040 Woodspring Ct Granite Bay CA 95746-8838 Ph: (530) 902-7875 |
| NPI Number | 1922471747 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922471747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A91530 (California) | Primary |
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