| Snj Capitol Corporation | |
|
9764 Caneria Way Elk Grove CA 95757-6225 | |
| (630) 379-6186 | |
| Not Available |
| Full Name | Snj Capitol Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9764 Caneria Way, Elk Grove, California |
| Authorized Official Name and Position | Sanjiwan Boparai (OWNER) |
| Authorized Official Contact | 6303796186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Snj Capitol Corporation 9764 Caneria Way Elk Grove CA 95757-6225 Ph: (630) 379-6186 | Snj Capitol Corporation 9764 Caneria Way Elk Grove CA 95757-6225 Ph: (630) 379-6186 |
| NPI Number | 1952081606 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| 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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