Organization
WELLSPACE HEALTH PROFESSIONAL HEALTH CENTER FOR WOMEN
Active
Organization
WELLSPACE HEALTH PROFESSIONAL HEALTH CENTER FOR WOMEN
Active
Parent organization
WELLSPACE HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSPACE HEALTH
Authorized official
KARINA VANESSA MARTIN (FACILITY LICENSING SPECIALIST)
(916) 469-4690
Entity
Organization
Contact information
Practice address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 469-4690
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 550-5481
(916) 520-3921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
09/24/2025
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