Organization
CALIFORNIA ECM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR DOBREV (PRESIDENT)
(415) 535-6179
Entity
Organization
Contact information
Practice address
2281 LAVA RIDGE CT STE 200, ROSEVILLE, CA 95661-2805
(415) 535-6179
Mailing address
2281 LAVA RIDGE CT STE 200, ROSEVILLE, CA 95661-2805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/02/2025
Last updated
05/07/2025
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