Organization
FORT HEALTH MEDICAL GROUP OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA HAQ MD (PRESIDENT)
(949) 463-0650
Entity
Organization
Contact information
Practice address
3222 GIBSON LDG, CHICO, CA 95973-2124
(908) 285-6686
Mailing address
85 5TH AVE FL 8, NEW YORK, NY 10003-3019
(908) 285-6686
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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