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
3415 MARTIN LUTHER KING JR. BLVD, SACRAMENTO, CA 95817-3648
(916) 646-8000
(916) 822-8974
Mailing address
1820 J STREET, SACRAMENTO, CA 95811-3010
(916) 550-5481
(916) 822-8974
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
550001135
CA
Other
Enumeration date
12/12/2012
Last updated
08/06/2015
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