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2681 28th Ave San Francisco CA 94116-2912 | |
| (415) 682-3175 | |
| (415) 664-7094 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2681 28th Ave, San Francisco, California |
| Authorized Official Name and Position | America Maria Grajeda (DIRECTOR QUALITY IMPROVEMENT) |
| Authorized Official Contact | 4156823175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1801 Vicente St San Francisco CA 94116-2923 Ph: (415) 682-3175 | 2681 28th Ave San Francisco CA 94116-2912 Ph: (415) 682-3175 |
| NPI Number | 1497494934 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497494934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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