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Organization

SAB FAMILY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHASHI RAYA PRASAI (DIRECTOR OF OPERATIONS)
(510) 221-7905
Entity
Organization

Contact information

Practice address
5383 SOUTHWOOD WAY, ANTIOCH, CA 94531-8251
(510) 680-9208
Mailing address
5383 SOUTHWOOD WAY, ANTIOCH, CA 94531-8251
(510) 680-9208

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
03/29/2025
Last updated
05/07/2025
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