# SHASTA INTEGRATIVE HEALTH

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

## Provider details

- **NPI number:** 1750806352
- **Authorized official:** DR. ROBERT PORZIO DO (PRESIDENT)
- **Authorized official phone:** (530) 222-1777

## Contact information

- **Practice address:** 85 HARTNELL AVE STE 100, REDDING, CA 96002-1888
- **Practice address phone:** (530) 222-1777
- **Practice address fax:** (530) 222-1879
- **Mailing address:** 85 HARTNELL AVE STE 100, REDDING, CA 96002-1888
- **Mailing address phone:** (530) 222-1777
- **Mailing address fax:** (530) 222-1879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 1285654921 | CA | Yes |

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 07/21/2022