# FORT HEALTH MEDICAL GROUP OF CALIFORNIA PC

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

## Provider details

- **NPI number:** 1972243251
- **Authorized official:** SABA HAQ MD (PRESIDENT)
- **Authorized official phone:** (949) 463-0650

## Contact information

- **Practice address:** 3222 GIBSON LDG, CHICO, CA 95973-2124
- **Practice address phone:** (908) 285-6686
- **Mailing address:** 85 5TH AVE FL 8, NEW YORK, NY 10003-3019
- **Mailing address phone:** (908) 285-6686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/01/2022
- **Last updated:** 04/01/2022