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Organization
PRAX MEDICAL CA, PC
Active
Organization
PRAX MEDICAL CA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHEN MD (CHIEF EXECUTIVE OFFICER)
(512) 779-7276
Entity
Organization
Contact information
Practice address
2108 N ST # 10310, SACRAMENTO, CA 95816-5712
(415) 336-5090
Mailing address
2108 N ST # 10310, SACRAMENTO, CA 95816-5712
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
01/14/2025
Last updated
07/23/2025
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