Organization
WELLSPACE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA GOMEZ (MHA-I)
(916) 679-3925
Entity
Organization
Contact information
Practice address
6015 WATT AVE, #2, NORTH HIGHLANDS, CA 95660-4294
(916) 679-3925
(916) 679-3928
Mailing address
1820 J ST, SACRAMENTO, CA 95811-3010
(916) 550-5481
(916) 822-8974
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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