| Aleksandr Grinberg Md, Inc | |
|
2320 Sutter St Office 101 San Francisco CA 94115-3038 | |
| (415) 771-0700 | |
| (415) 928-1311 |
| Full Name | Aleksandr Grinberg Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2320 Sutter St, San Francisco, California |
| Authorized Official Name and Position | Aleksandr Grinberg (OWNER) |
| Authorized Official Contact | 4152866530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleksandr Grinberg Md, Inc 2320 Sutter St Office 101 San Francisco CA 94115-3038 Ph: (415) 771-0700 | Aleksandr Grinberg Md, Inc 2320 Sutter St Office 101 San Francisco CA 94115-3038 Ph: (415) 771-0700 |
| NPI Number | 1144581356 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Medicare PECOS PAC ID | 9133385206 |
|---|---|
| Medicare Enrollment ID | O20120718000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144581356 | NPI | - | NPPES |
| 9996133 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | A56467 (California) | Primary |
| Provider Name | Alexander Grinberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538260765 PECOS PAC ID: 4183880255 Enrollment ID: I20120718000695 |
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