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375 Laguna Honda Blvd San Francisco CA 94116-1411 | |
| (415) 759-3348 | |
| (415) 759-3012 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 375 Laguna Honda Blvd, San Francisco, California |
| Authorized Official Name and Position | Thomas John Istvan (PATIENT FINANCIAL DIRECTOR) |
| Authorized Official Contact | 4152064064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1001 Potrero Ave Building 20 Ward 24 San Francisco CA 94110-3518 Ph: (415) 206-8338 | 375 Laguna Honda Blvd San Francisco CA 94116-1411 Ph: (415) 759-3348 |
| NPI Number | 1528083300 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 03/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528083300 | NPI | - | NPPES |
| GPS001440 | Medicaid | CA |
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