| Lubofsky Pc | |
|
1305 Franklin St Ste 300 Oakland CA 94612-3222 | |
| (415) 508-6263 | |
| Not Available |
| Full Name | Lubofsky Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1305 Franklin St Ste 300, Oakland, California |
| Authorized Official Name and Position | Michael Lubofsky (CEO) |
| Authorized Official Contact | 4155086263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubofsky Pc 1305 Franklin St Ste 300 Oakland CA 94612-3222 Ph: (415) 508-6263 | Lubofsky Pc 1305 Franklin St Ste 300 Oakland CA 94612-3222 Ph: (415) 508-6263 |
| NPI Number | 1700567526 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 7113363557 |
|---|---|
| Medicare Enrollment ID | O20240307004156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700567526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michael Scott Lubofsky |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457831588 PECOS PAC ID: 8022454461 Enrollment ID: I20240503002784 |
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