Organization
WELLSPACE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALASDAIR 'JONATHAN' PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 737-5555
Entity
Organization
Contact information
Practice address
3811 FLORIN RD STE 16, SACRAMENTO, CA 95823-1822
(916) 325-5556
Mailing address
1820 J ST, SACRAMENTO, CA 95811-3010
(916) 550-5481
(916) 822-8974
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/20/2015
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