Organization
CALIFORNIA NORTHSTATE UNIVERSITY
Active
Organization
CALIFORNIA NORTHSTATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVIN CHEUNG PHARMD, MHSA (PRESIDENT & CEO)
(916) 686-8975
Entity
Organization
Contact information
Practice address
9700 WEST TARON DR, ELK GROVE, CA 95757
(916) 686-8975
Mailing address
9700 WEST TARON DR, ELK GROVE, CA 95757
(916) 686-8975
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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