| Pkq Neurological Associates, Inc. | |
|
2250 Hayes St Ste 504 San Francisco CA 94117-1078 | |
| (415) 751-7753 | |
| (415) 751-7806 |
| Full Name | Pkq Neurological Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2250 Hayes St Ste 504, San Francisco, California |
| Authorized Official Name and Position | Carlos Quintana (CEO) |
| Authorized Official Contact | 4157517753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pkq Neurological Associates, Inc. 2250 Hayes St Ste 504 San Francisco CA 94117-1078 Ph: (415) 751-7753 | Pkq Neurological Associates, Inc. 2250 Hayes St Ste 504 San Francisco CA 94117-1078 Ph: (415) 751-7753 |
| NPI Number | 1861580474 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Medicare PECOS PAC ID | 1153360060 |
|---|---|
| Medicare Enrollment ID | O20050429000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861580474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Carlos Quintana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740261627 PECOS PAC ID: 8224041926 Enrollment ID: I20060725000276 |
| Provider Name | Mary Genevieve |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871598706 PECOS PAC ID: 6901837541 Enrollment ID: I20120206000588 |
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