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 |
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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 |
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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 |
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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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