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7600 Hospital Dr Ste I Sacramento CA 95823-5406 | |
| (916) 290-7571 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7600 Hospital Dr Ste I, Sacramento, California |
| Authorized Official Name and Position | Sanjiwan Boparai (OWNER) |
| Authorized Official Contact | 9162907571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
7600 Hospital Dr Ste I Sacramento CA 95823-5406 Ph: (916) 290-7571 | 7600 Hospital Dr Ste I Sacramento CA 95823-5406 Ph: (916) 290-7571 |
| NPI Number | 1952081606 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 4486017290 |
|---|---|
| Medicare Enrollment ID | O20230828000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952081606 | NPI | - | NPPES |
| A119799 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sanjiwan Boparai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376700583 PECOS PAC ID: 7113197013 Enrollment ID: I20120911000160 |
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