Organization
ELICA HEALTH CENTERS
Active
Organization
ELICA HEALTH CENTERS
Active
Other names
Elica Health Centers - Midtown First Floor
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA BAK (CEO)
(916) 569-8484
Entity
Organization
Contact information
Practice address
3701 J ST STE 101, SACRAMENTO, CA 95816-5542
(916) 454-2345
Mailing address
1860 HOWE AVE STE 440, SACRAMENTO, CA 95825-1098
(916) 569-8484
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/21/2025
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