| Shasta | |
|
727 Shasta St Redwood City CA 94063-2124 | |
| (650) 599-1033 | |
| Not Available |
| Full Name | Shasta |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 727 Shasta St, Redwood City, California |
| Authorized Official Name and Position | Jei Africa (DIRECTOR) |
| Authorized Official Contact | 6506132155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta 727 Shasta St Redwood City CA 94063-2124 Ph: (650) 599-1033 | Shasta 727 Shasta St Redwood City CA 94063-2124 Ph: (650) 599-1033 |
| NPI Number | 1528432481 |
|---|---|
| Provider Enumeration Date | 11/16/2015 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528432481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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