| Destiny Health Clinic Llc | |
|
400 Plaza Dr Folsom CA 95630-4744 | |
| (916) 235-3601 | |
| (916) 277-9034 |
| Full Name | Destiny Health Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Plaza Dr, Folsom, California |
| Authorized Official Name and Position | Kamyar Farhangfar (OWNER) |
| Authorized Official Contact | 9162353601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Health Clinic Llc 1015 Riley St # 6241 Folsom CA 95630-9973 Ph: (916) 253-3601 | Destiny Health Clinic Llc 400 Plaza Dr Folsom CA 95630-4744 Ph: (916) 235-3601 |
| NPI Number | 1326631086 |
|---|---|
| Provider Enumeration Date | 02/14/2021 |
| Last Update Date | 02/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326631086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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