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Organization

ELICA HEALTH CENTERS

Active
Parent organization
ELICA HEALTH CENTERS
Other names
Elica Health Centers - Glendale
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
2400 GLENDALE LN, SACRAMENTO, CA 95825-2431
(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
07/13/2022
Last updated
07/13/2022
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