El Hogar Community Services Inc. | |
630 Bercut Dr Ste C Sacramento CA 95811-0110 | |
(916) 363-1553 | |
Not Available |
Full Name | El Hogar Community Services Inc. |
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Speciality | Community/Behavioral Health |
Location | 630 Bercut Dr Ste C, Sacramento, California |
Authorized Official Name and Position | Genelle Cazares (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9164410226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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El Hogar Community Services Inc. 3870 Rosin Ct Ste 130 Sacramento CA 95834-1647 Ph: (916) 363-1553 | El Hogar Community Services Inc. 630 Bercut Dr Ste C Sacramento CA 95811-0110 Ph: (916) 363-1553 |
NPI Number | 1932286168 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 03/02/2023 |
Certification Date | 03/02/2023 |
Medicare PECOS PAC ID | 4183881287 |
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Medicare Enrollment ID | O20120201000296 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932286168 | NPI | - | NPPES |
Provider Name | Pradeep Kumar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023188935 PECOS PAC ID: 4587555768 Enrollment ID: I20090727000535 |
Provider Name | Daniel M Gordon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144342601 PECOS PAC ID: 3870813967 Enrollment ID: I20150513000001 |
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