| Instituto Familiar De La Raza | |
|
2919 Mission Street San Francisco CA 94110 | |
| (415) 229-0500 | |
| (415) 647-3662 |
| Full Name | Instituto Familiar De La Raza |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2919 Mission Street, San Francisco, California |
| Authorized Official Name and Position | Gloria Arciniega Romero (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 4152290500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Instituto Familiar De La Raza 2919 Mission Street San Francisco CA 94110 Ph: (415) 229-0500 | Instituto Familiar De La Raza 2919 Mission Street San Francisco CA 94110 Ph: (415) 229-0500 |
| NPI Number | 1033267497 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/25/2024 |
| Certification Date | 02/11/2021 |
| Medicare PECOS PAC ID | 5597923045 |
|---|---|
| Medicare Enrollment ID | O20120301000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033267497 | NPI | - | NPPES |
| FV015A | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 220000461 (California) | Primary |
| Provider Name | Benjamin B Barreras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750419677 PECOS PAC ID: 1355414186 Enrollment ID: I20080725000751 |
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