| Kaiser Permanente | |
|
1200 El Camino Real 3rd Floor Psychiatry South San Francisco CA 94080-3208 | |
| (650) 742-3955 | |
| (650) 742-2591 |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1200 El Camino Real, South San Francisco, California |
| Authorized Official Name and Position | Alan Marx (CHIEF OF PSYCHIATRY) |
| Authorized Official Contact | 6507422478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 1200 El Camino Real 3rd Floor Psychiatry South San Francisco CA 94080-3208 Ph: (650) 742-3955 | Kaiser Permanente 1200 El Camino Real 3rd Floor Psychiatry South San Francisco CA 94080-3208 Ph: (650) 742-3955 |
| NPI Number | 1518223429 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518223429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LCS 28016 (California) | Primary |
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