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Find providers by NPI
Organization

ELICA HEALTH CENTERS

Active
Parent organization
ELICA HEALTH CENTERS
Other names
Elica Health Centers North Highlands
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELICA HEALTH CENTERS
Authorized official
TATYANA BAK (CEO)
(916) 569-8484
Entity
Organization

Contact information

Practice address
4815 WATT AVE, NORTH HIGHLANDS, CA 95660-5108
(916) 454-2345
(916) 890-3828
Mailing address
1860 HOWE AVE STE 440, SACRAMENTO, CA 95825-1098
(916) 569-8484

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/28/2020
Last updated
03/08/2022
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