| Hearing And Speech Center Of Northern California | |
|
1234 Divisadero St San Francisco CA 94115-3911 | |
| (415) 921-7658 | |
| (415) 921-2243 |
| Full Name | Hearing And Speech Center Of Northern California |
|---|---|
| Speciality | Audiologist |
| Location | 1234 Divisadero St, San Francisco, California |
| Authorized Official Name and Position | Darragh Kennedy (CEO) |
| Authorized Official Contact | 4159217658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearing And Speech Center Of Northern California 1234 Divisadero St San Francisco CA 94115-3911 Ph: (415) 921-7658 | Hearing And Speech Center Of Northern California 1234 Divisadero St San Francisco CA 94115-3911 Ph: (415) 921-7658 |
| NPI Number | 1164577433 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 03/23/2010 |
| Medicare PECOS PAC ID | 6305164112 |
|---|---|
| Medicare Enrollment ID | O20150407001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164577433 | NPI | - | NPPES |
| GAU000930 | Medicaid | CA |
| Provider Name | Kathleen Villarente Favor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225433030 PECOS PAC ID: 0143548651 Enrollment ID: I20150414000610 |
| Provider Name | Paul Christopher Focht |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336363829 PECOS PAC ID: 7810215274 Enrollment ID: I20150414002576 |
| Provider Name | Jasmine Mendaros Carino |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518525716 PECOS PAC ID: 9830538347 Enrollment ID: I20240417000987 |
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