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General NPI Number Information
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NPI Number | 1093690315
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Entity Type | Organization
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Legal Business Name | WESTCARE CALIFORNIA, INC.
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1609 N WILSON WAY
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City | STOCKTON
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State | CA
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Zip | 95205-3119
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Country | US
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Telephone | 559-251-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N GATEWAY BLVD STE 100
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City | FRESNO
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State | CA
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Zip | 93727-1622
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Country | US
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Telephone | 559-251-4800
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Fax |
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Authorized Official
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Title or Position | DEPUTY ADMINISTRATOR
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Name | MICHELLE ALLEN
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Credential |
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Telephone | 559-251-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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