MEDICARE: EILEEN MARY SANFELICE

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	171400000X	Health & Wellness Coach		CA

General Provider Information

NPI Number	:	1770435257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN MARY SANFELICE

Provider Business Mailing Address
First Line	:	2390 BASS LAKE RD
Second Line	:
City	:	RESCUE
State	:	CA
Zip	:	95672-9571
Country	:	US
Telephone Number	:	530-677-4461
Fax Number	:	530-677-0719

Provider Business Practice Location Address
First Line	:	2240 SAILSBURY DR
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-6984
Country	:	US
Telephone Number	:	916-933-0652
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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