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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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