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1427715515

NPI Code Detail

MEDICARE: HEALTH AND LIFE ORGANIZATION, INC.

MEDICARE: HEALTH AND LIFE ORGANIZATION, INC.

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
1	208000000X	Pediatrics Physician
2	251B00000X	Case Management Agency
3	122300000X	Dentist
4	124Q00000X	Dental Hygienist
5	207N00000X	Dermatology Physician
6	1041C0700X	Clinical Social Worker
7	207V00000X	Obstetrics & Gynecology Physician
8	111N00000X	Chiropractor
9	207R00000X	Internal Medicine Physician
10	207Q00000X	Family Medicine Physician
11	104100000X	Social Worker
12	1223G0001X	General Practice Dentistry
13	171100000X	Acupuncturist
14	106H00000X	Marriage & Family Therapist
15	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1427715515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND LIFE ORGANIZATION, INC.

Provider Business Mailing Address
First Line	:	3030 EXPLORER DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2728
Country	:	US
Telephone Number	:	916-642-1867
Fax Number	:

Provider Business Practice Location Address
First Line	:	965 EL CAMINO AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-2530
Country	:	US
Telephone Number	:	916-642-1867
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	ALBERT MOUA
Credential	:
Telephone Number	:	916-642-1867

Provider Enumeration Date	:	11/23/2021
Last Update Date	:	02/09/2026

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Directions to “HEALTH AND LIFE ORGANIZATION, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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