MEDICARE: MHN GOVERNMENT SERVICES LLC

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	07-008--02-120	CA

General Provider Information

NPI Number	:	1679009062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MHN GOVERNMENT SERVICES LLC

Provider Business Mailing Address
First Line	:	2025 AEROJET RD
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-6418
Country	:	US
Telephone Number	:	916-353-6100
Fax Number	:	916-353-6809

Provider Business Practice Location Address
First Line	:	11299 SAN PABLO AVE
Second Line	:	SUITE W
City	:	EL CERRITO
State	:	CA
Zip	:	94530-2184
Country	:	US
Telephone Number	:	510-215-8905
Fax Number	:	510-620-1765

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. BILLY MAYNARD
Credential	:
Telephone Number	:	916-353-6100

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	05/04/2017

Similar Medicare Providers

1174795827 — WESTERN DENTAL SERVICES, INC.
Practice Location Address:

11299 SAN PABLO AVE , SUITE #A
EL CERRITO, CA
94530-2184

Practice Phone: 510-231-0147
Practice Fax: 510-231-5813

1861968919 — DAVID CHOW DDS
Practice Location Address:

11299 SAN PABLO AVE
EL CERRITO, CA
94530-2184

Practice Phone: 415-830-1219
Practice Fax:

1891468682 — NAVDEEP KAUR SODHI
Practice Location Address:

11299 SAN PABLO AVE
EL CERRITO, CA
94530-2184

Practice Phone: 908-458-5450
Practice Fax:

1366216384 — HARPREET KAUR DDS
Practice Location Address:

11299 SAN PABLO AVE
EL CERRITO, CA
94530-2184

Practice Phone: 510-778-7437
Practice Fax:

1154251940 — JANE LALHRUAISUAKI HALAM DDS
Practice Location Address:

11299 SAN PABLO AVE
EL CERRITO, CA
94530-2184

Practice Phone: 510-925-7975
Practice Fax:

1215935812 — MRS. SUGUNA V REDDY MD
Practice Location Address:

700 W CENTRAL AVE , STE 108
EL DORADO, KS
67042-2184

Practice Phone: 316-321-7550
Practice Fax: 316-321-1404

Directions to “MHN GOVERNMENT SERVICES LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.