| Medvidi Health Pc | |
|
1884 Market St San Francisco CA 94102-6227 | |
| (415) 554-0171 | |
| (415) 449-3540 |
| Full Name | Medvidi Health Pc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1884 Market St, San Francisco, California |
| Authorized Official Name and Position | Ed J Ortiz (OPERATIONS MANAGER) |
| Authorized Official Contact | 4159109362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medvidi Health Pc 1884 Market St San Francisco CA 94102-6227 Ph: (415) 554-0171 | Medvidi Health Pc 1884 Market St San Francisco CA 94102-6227 Ph: (415) 554-0171 |
| NPI Number | 1225792898 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225792898 | NPI | - | NPPES |
| 1295846822 | Medicaid | CA | |
| 1205923216 | Medicaid | FL | |
| 1457896128 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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