Healthcare Provider Details

I. General information

NPI: 1710841903
Provider Name (Legal Business Name): COLUSA COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E. WEBSTER ST.
COLUSA CA
95932
US

IV. Provider business mailing address

251 E. WEBSTER ST.
COLUSA CA
95932
US

V. Phone/Fax

Practice location:
  • Phone: 530-458-0250
  • Fax: 530-458-0492
Mailing address:
  • Phone: 530-458-0250
  • Fax: 530-458-0492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KIRILL OBRAZTSOV
Title or Position: BUDGET MANAGEMENT ANALYST
Credential:
Phone: 530-458-0363