Dr. Paul Copeland | |
3451 Burrows Avenue West Sacramento CA 95691 | |
(916) 376-8416 | |
(916) 376-0759 |
Full Name | Dr. Paul Copeland |
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Speciality | Psychiatry & Neurology |
Location | 3451 Burrows Avenue, West Sacramento, California |
Authorized Official Name and Position | Paul Clifford Copeland (CEO/OWNER) |
Authorized Official Contact | 9163768416 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Paul Copeland Po Box 981612 West Sacramento CA 95798 Ph: (916) 376-8416 | Dr. Paul Copeland 3451 Burrows Avenue West Sacramento CA 95691 Ph: (916) 376-8416 |
NPI Number | 1265616544 |
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Provider Enumeration Date | 12/22/2007 |
Last Update Date | 08/10/2022 |
Certification Date | 08/10/2022 |
Medicare PECOS PAC ID | 9537200860 |
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Medicare Enrollment ID | O20100108000880 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265616544 | NPI | - | NPPES |
1477667152 | Other | CA | INDIVIDUAL NPI |
Provider Name | Paul C Copeland |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477667152 PECOS PAC ID: 5991846222 Enrollment ID: I20100108000874 |
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