Shasta Integrative Health
General Practice in Redding, CA. Organization (NPI-2).
NPI number1750806352
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1750806352
- Entity type
- Organization (NPI-2)
- Legal business name
- Shasta Integrative Health
- Organization subpart
- No
- Enumeration date
- Aug 4, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 1285654921 | CA | Yes |
Practice location
85 Hartnell Ave Ste 100Redding, CA 96002-1888
Phone 530-222-1777 · Fax 530-222-1879
Mailing address
85 Hartnell Ave Ste 100Redding, CA 96002-1888
Phone 530-222-1777 · Fax 530-222-1879
Authorized official
Robert Porzio
President
5302221777
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