Organization
GHOAT LLC
Active
Other names
Hundred Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER SMITH (SOLE MEMBER)
(916) 412-1156
Entity
Organization
Contact information
Practice address
825 K ST STE 200, SACRAMENTO, CA 95814-3547
(916) 412-1156
Mailing address
825 K ST STE 200, SACRAMENTO, CA 95814-3547
(916) 412-1156
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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