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Organization
FORT HEALTH MEDICAL GROUP OF CALIFORNIA PC
Active
Organization
FORT HEALTH MEDICAL GROUP OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA HAQ MD (PRESIDENT)
(949) 463-0650
Entity
Organization
Contact information
Practice address
3222 GIBSON LDG, CHICO, CA 95973-2124
(908) 285-6686
Mailing address
85 5TH AVE FL 8, NEW YORK, NY 10003-3019
(908) 285-6686
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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