| Organization Name: | ELICA HEALTH CENTERS |
| NPI Number: | 1548425853 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH CASSIN (ADMINISTRATOR) |
| Mailing Address: | 155 15th St Suite A West Sacramento |
| State: | CA US |
| Postal Code: | 956913737 |
| Phone Number: | 9163758981 |
| Fax Number: | 9163758990 |
| NPI Enumeration Date: | 07/25/2008 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 550000706 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |