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4250 Auburn Blvd Sacramento CA 95841-4164 | |
| (916) 489-3336 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4250 Auburn Blvd, Sacramento, California |
| Authorized Official Name and Position | Moneeshindra Singh Mittal (PRESIDENT & CEO) |
| Authorized Official Contact | 7744445667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8690 Sierra College Blvd Ste 160-379 Roseville CA 95661-5961 Ph: (774) 444-5667 | 4250 Auburn Blvd Sacramento CA 95841-4164 Ph: (916) 489-3336 |
| NPI Number | 1881447316 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881447316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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