Organization
WELLSPACE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 737-5555
Entity
Organization
Contact information
Practice address
8231 E STOCKTON BLVD, SUITE C, SACRAMENTO, CA 95828-8202
(916) 737-5573
(916) 405-6342
Mailing address
1820 J ST, SACRAMENTO, CA 95811-3010
(916) 550-5481
(916) 822-8974
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
03/20/2024
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