Healthcare Provider Details

I. General information

NPI: 1982457263
Provider Name (Legal Business Name): PORTIA BELL HUME CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38719 STIVERS ST
FREMONT CA
94536-5337
US

IV. Provider business mailing address

1333 WILLOW PASS RD STE 200
CONCORD CA
94520-7923
US

V. Phone/Fax

Practice location:
  • Phone: 510-400-5252
  • Fax:
Mailing address:
  • Phone: 925-338-7928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. JOTY SIKAND
Title or Position: PRESIDENT
Credential: PSY.
Phone: 925-825-1793