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INNOVATIVE TREATMENT ASSOCIATES NPI 1518426857


NPI Information

NPI: 1518426857
Provider Name: INNOVATIVE TREATMENT ASSOCIATES
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3581 PALMER DR STE 601
CAMERON PARK, CA
ZIP 95682
Phone: (530) 556-5363
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INNOVATIVE TREATMENT ASSOCIATES is a clinic center in Cameron Park, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INNOVATIVE TREATMENT ASSOCIATES NPI is 1518426857. The provider is registered as an organization entity type.

The provider's business location address is:

3581 PALMER DR STE 601
CAMERON PARK, CA
ZIP 95682-238
Phone: (530) 556-5363

The provider's authorized official is John Rulison .
The authorized official title is Medical Director and has the following contact phone number (530) 391-9196.

The enumeration date for this NPI number is 3/17/2019 and was last updated on 4/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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