| |
302 Silver Ave San Francisco CA 94112 | |
(415) 469-2262 | |
(415) 333-4345 |
Full Name | |
---|---|
Speciality | Skilled Nursing Facility |
Location | 302 Silver Ave, San Francisco, California |
Authorized Official Name and Position | Kevin Emlet (CFO) |
Authorized Official Contact | 4158460431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
302 Silver Ave San Francisco CA 94112 Ph: (415) 469-2262 | 302 Silver Ave San Francisco CA 94112 Ph: (415) 469-2262 |
NPI Number | 1629145610 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629145610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 220000224 (California) | Primary |
314000000X | Skilled Nursing Facility | 220000224 (California) | Primary |
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