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SHASTA INTEGRATIVE HEALTH NPI 1750806352


NPI Information

NPI: 1750806352
Provider Name: SHASTA INTEGRATIVE HEALTH
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
85 HARTNELL AVE STE 100
REDDING, CA
ZIP 96002
Phone: (530) 222-1777
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SHASTA INTEGRATIVE HEALTH is a general practice in Redding, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SHASTA INTEGRATIVE HEALTH NPI is 1750806352. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

85 HARTNELL AVE STE 100
REDDING, CA
ZIP 96002-888
Phone: (530) 222-1777
Fax: (530) 222-1879

The provider's authorized official is Robert Porzio .
The authorized official title is President and has the following contact phone number (530) 222-1777.

The enumeration date for this NPI number is 8/4/2017 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice1285654921CALIFORNIAYes

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: 5/5/2024

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