Gateway Learning Group, Llc | |
295 89th St Ste 306 Daly City CA 94015-1656 | |
(877) 264-6747 | |
(877) 539-7730 |
Full Name | Gateway Learning Group, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 295 89th St Ste 306, Daly City, California |
Authorized Official Name and Position | Colin Davitian (CHEIF EXECUTIVE OFFICER) |
Authorized Official Contact | 8772646747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gateway Learning Group, Llc 295 89th St Ste 306 Daly City CA 94015-1656 Ph: (877) 264-6747 | Gateway Learning Group, Llc 295 89th St Ste 306 Daly City CA 94015-1656 Ph: (877) 264-6747 |
NPI Number | 1720212749 |
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Provider Enumeration Date | 05/05/2009 |
Last Update Date | 07/19/2022 |
Certification Date | 07/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720212749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1042076 (California) | Primary |
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