# WELLSPACE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679819007
- **Authorized official:** DR. ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (916) 737-5555

## Contact information

- **Practice address:** 3415 MARTIN LUTHER KING JR. BLVD, SACRAMENTO, CA 95817-3648
- **Practice address phone:** (916) 646-8000
- **Practice address fax:** (916) 822-8974
- **Mailing address:** 1820 J STREET, SACRAMENTO, CA 95811-3010
- **Mailing address phone:** (916) 550-5481
- **Mailing address fax:** (916) 822-8974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 550001135 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2012
- **Last updated:** 08/06/2015