Renewal And Growth Psychiatry | |
7600 Hospital Dr Ste I Sacramento CA 95823-5406 | |
(916) 290-7571 | |
Not Available |
Full Name | Renewal And Growth Psychiatry |
---|---|
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 |
---|---|
Renewal And Growth Psychiatry 7600 Hospital Dr Ste I Sacramento CA 95823-5406 Ph: (916) 290-7571 | Renewal And Growth Psychiatry 7600 Hospital Dr Ste I Sacramento CA 95823-5406 Ph: (916) 290-7571 |
NPI Number | 1952081606 |
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Provider Enumeration Date | 07/18/2023 |
Last Update Date | 09/27/2024 |
Certification Date | 09/27/2024 |
Medicare PECOS PAC ID | 4486017290 |
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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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