| |
327 N San Mateo Dr Ste 10 San Mateo CA 94401-2585 | |
(415) 710-9777 | |
(650) 403-1872 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 327 N San Mateo Dr Ste 10, San Mateo, California |
Authorized Official Name and Position | William Anderson Bell (PRESIDENT) |
Authorized Official Contact | 4157109777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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327 N San Mateo Dr Ste 10 San Mateo CA 94401-2585 Ph: (415) 710-9777 | 327 N San Mateo Dr Ste 10 San Mateo CA 94401-2585 Ph: (415) 710-9777 |
NPI Number | 1124345137 |
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Provider Enumeration Date | 04/29/2010 |
Last Update Date | 07/24/2024 |
Certification Date | 07/24/2024 |
Medicare PECOS PAC ID | 5799226957 |
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Medicare Enrollment ID | O20240916002880 |
Identifier | Type | State | Issuer |
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1124345137 | NPI | - | NPPES |
Provider Name | William Anderson Bell |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1902831878 PECOS PAC ID: 9335680503 Enrollment ID: I20240916003050 |
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