=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942416854
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RALPH F SETT M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9825 GOETHE RD STE 200
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95827-3566
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-255-2806
-----------------------------------------------------
Fax | 916-255-4429
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2402 MORLEY WAY
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95864-6939
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-485-9187
-----------------------------------------------------
Fax | 916-485-9187
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number | G13217
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------