| Phoenix Health & Wellness Pc | |
|
576 N Sunrise Ave Ste 210 Roseville CA 95661 | |
| (916) 299-6051 | |
| (916) 581-6405 |
| Full Name | Phoenix Health & Wellness Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 576 N Sunrise Ave Ste 210, Roseville, California |
| Authorized Official Name and Position | Bertina Marie Hooks (PRESIDENT/CEO) |
| Authorized Official Contact | 9166269869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Health & Wellness Pc 576 N Sunrise Ave Ste 210 Roseville CA 95661-2847 Ph: (916) 299-6501 | Phoenix Health & Wellness Pc 576 N Sunrise Ave Ste 210 Roseville CA 95661 Ph: (916) 299-6051 |
| NPI Number | 1407346208 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 06/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407346208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A133270 (California) | Primary |
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