Organization
SACRAMENTO COUNTY DHHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIRUPA PRASAD (LVN)
(916) 875-0802
Entity
Organization
Contact information
Practice address
7171 BOWLING DR, SUITE 300, SACRAMENTO, CA 95823-2034
(916) 875-0802
(916) 875-0854
Mailing address
8149 APPLE BROOK WAY, AS ABOVE, ELK GROVE, CA 95624-4110
(916) 753-5647
(916) 875-0854
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
VN196077
CA
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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