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1401 21st St # 10173 Sacramento CA 95811-5226 | |
| (562) 600-0120 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1401 21st St # 10173, Sacramento, California |
| Authorized Official Name and Position | Yajun Zeng (CEO) |
| Authorized Official Contact | 5626000120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1401 21st St # 10173 Sacramento CA 95811-5226 Ph: () - | 1401 21st St # 10173 Sacramento CA 95811-5226 Ph: (562) 600-0120 |
| NPI Number | 1154145936 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154145936 | NPI | - | NPPES |
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