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Organization
SNJ CAPITOL CORPORATION
Active
Organization
SNJ CAPITOL CORPORATION
Active
Other names
Renewal and Growth Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIWAN BOPARAI MD (OWNER)
(916) 290-7571
Entity
Organization
Contact information
Practice address
7600 HOSPITAL DR STE I, SACRAMENTO, CA 95823-5406
(916) 290-7571
Mailing address
7600 HOSPITAL DR STE I, SACRAMENTO, CA 95823-5406
(916) 290-7571
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A119799
STATE LICENSE
CA
Enumeration date
07/18/2023
Last updated
09/27/2024
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