Organization
WELLSPACE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 737-5555
Entity
Organization
Contact information
Practice address
3535 65TH ST, SUITE C, SACRAMENTO, CA 95820-2057
(916) 737-5555
(916) 444-5620
Mailing address
1820 J STREET, SACRAMENTO, CA 95811
(916) 550-5481
(916) 822-8974
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
03/23/2015
Last updated
08/16/2017
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