| Nor Cal Trauma Healing Center | |
|
5740 Windmill Way Ste 8 Carmichael CA 95608-1379 | |
| (279) 202-8113 | |
| (916) 251-1148 |
| Full Name | Nor Cal Trauma Healing Center |
|---|---|
| Speciality | Social Worker |
| Location | 5740 Windmill Way Ste 8, Carmichael, California |
| Authorized Official Name and Position | Victor Urrego-vallowe (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2792028113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nor Cal Trauma Healing Center 5740 Windmill Way Ste 8 Carmichael CA 95608-1379 Ph: (279) 202-8113 | Nor Cal Trauma Healing Center 5740 Windmill Way Ste 8 Carmichael CA 95608-1379 Ph: (279) 202-8113 |
| NPI Number | 1053928606 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 03/18/2022 |
| Certification Date | 03/18/2022 |
| Medicare PECOS PAC ID | 7517323769 |
|---|---|
| Medicare Enrollment ID | O20230515001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053928606 | NPI | - | NPPES |
| 100192313 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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