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NPI Code Detail

MEDICARE: SEQUOIA HEALTH SERVICES

MEDICARE: SEQUOIA HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273Y00000XRehabilitation Hospital Unit220000045CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZA4102ZOTHERCABLUE SHIELD
202OTHERKAISER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427091156
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEQUOIA HEALTH SERVICES
Provider Business Mailing Address
First Line : 3215 PROSPECT PARK DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-6017
Country : US
Telephone Number : 916-861-1102
Fax Number : 916-861-7707
Provider Business Practice Location Address
First Line : 170 ALAMEDA DE LAS PULGAS
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-2751
Country : US
Telephone Number : 650-369-5811
Fax Number : 650-367-5100
Authorized Official
Title or Position : VP CFO
Name : GRATIA BARTON
Credential :
Telephone Number : 650-367-5837
Provider Enumeration Date : 06/13/2006
Last Update Date : 09/19/2013

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Practice Location Address:
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1063403707 — LISA KRISTEN BOOHAR MD
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1811930555 — SEQUOIA HEALTH SERVICES
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
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1689617342 — SEQUOIA HEALTH SERVICES
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
94062-2751
Practice Phone: 650-369-5811
Practice Fax: 650-367-5100

Directions to “SEQUOIA HEALTH SERVICES ” Practice Location

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