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NPI Code Detail

MEDICARE: FELIPE DANIEL GAMEZ SR. CADCII

MEDICARE: FELIPE DANIEL GAMEZ SR. CADCII
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorA059780521CA
2171M00000XCase Manager/Care CoordinatorR1210080815CA

General Provider Information

NPI Number : 1770956245
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELIPE DANIEL GAMEZ SR. CADCII
Provider Business Mailing Address
First Line : 3201 FLORIN PERKINS RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3900
Country : US
Telephone Number : 916-876-5432
Fax Number :
Provider Business Practice Location Address
First Line : 9340 E STOCKTON BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-1563
Country : US
Telephone Number : 916-710-4074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 06/17/2024

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