Healthcare Provider Details

I. General information

NPI: 1144850173
Provider Name (Legal Business Name): COUNTY OF SACRAMENTO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 01/17/2020
Certification Date: 01/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 BOWLING DRIVE SUITE 1000
SACRAMENTO CA
95823
US

IV. Provider business mailing address

7171 BOWLING DRIVE SUITE 1000
SACRAMENTO CA
95823
US

V. Phone/Fax

Practice location:
  • Phone: 916-876-5000
  • Fax: 916-875-2155
Mailing address:
  • Phone: 916-876-5000
  • Fax: 916-875-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER BEILENSON
Title or Position: DIRECTOR OF HEALTH SERVICES
Credential: MD, MPH
Phone: 916-875-2002