| Ketetha Olengue Md Incorporated | |
|
2211 Post St Ste 300 San Francisco CA 94115-3442 | |
| (650) 567-6055 | |
| (859) 955-4972 |
| Full Name | Ketetha Olengue Md Incorporated |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2211 Post St Ste 300, San Francisco, California |
| Authorized Official Name and Position | Ketetha Claude Geraldine Olengue (PRESIDENT) |
| Authorized Official Contact | 6505676055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketetha Olengue Md Incorporated 166 Geary St Ste 1500 San Francisco CA 94108-5628 Ph: (650) 567-6055 | Ketetha Olengue Md Incorporated 2211 Post St Ste 300 San Francisco CA 94115-3442 Ph: (650) 567-6055 |
| NPI Number | 1700653292 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700653292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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