| Lifewave Psychiatry | |
|
2211 Post St Ste 300 San Francisco CA 94115-3442 | |
| (415) 483-9223 | |
| Not Available |
| Full Name | Lifewave Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2211 Post St Ste 300, San Francisco, California |
| Authorized Official Name and Position | Shuo Qiu (CEO) |
| Authorized Official Contact | 4154839223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifewave Psychiatry 2211 Post St Ste 300 San Francisco CA 94115-3442 Ph: () - | Lifewave Psychiatry 2211 Post St Ste 300 San Francisco CA 94115-3442 Ph: (415) 483-9223 |
| NPI Number | 1164207213 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 1254789241 |
|---|---|
| Medicare Enrollment ID | O20231201001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164207213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shuo Qiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987465 PECOS PAC ID: 6406104827 Enrollment ID: I20220930000207 |
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