| Elica Health Centers | |
|
2400 Glendale Ln Sacramento CA 95825-2431 | |
| (916) 454-2345 | |
| Not Available |
| Full Name | Elica Health Centers |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2400 Glendale Ln, Sacramento, California |
| Authorized Official Name and Position | Tatyana Bak (CEO) |
| Authorized Official Contact | 9165698484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elica Health Centers 1860 Howe Ave Ste 440 Sacramento CA 95825-1098 Ph: (916) 569-8484 | Elica Health Centers 2400 Glendale Ln Sacramento CA 95825-2431 Ph: (916) 454-2345 |
| NPI Number | 1790419059 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790419059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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