| Pacific State Medical Group Of California, P.c. | |
|
95 3rd St Fl 2 San Francisco CA 94103-3103 | |
| (833) 843-3838 | |
| (844) 831-4571 |
| Full Name | Pacific State Medical Group Of California, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 95 3rd St Fl 2, San Francisco, California |
| Authorized Official Name and Position | Elliott Rapaport (CEO) |
| Authorized Official Contact | 9178438445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific State Medical Group Of California, P.c. 95 3rd St Fl 2 San Francisco CA 94103-3103 Ph: (833) 843-3838 | Pacific State Medical Group Of California, P.c. 95 3rd St Fl 2 San Francisco CA 94103-3103 Ph: (833) 843-3838 |
| NPI Number | 1134951197 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134951197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Contra Costa County Behavioral Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Allston Way, San Francisco, CA 94127 Phone: 415-866-5231 | |
Medens Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 California St Ste 1500, San Francisco, CA 94111 Phone: 415-854-5400 Fax: 844-654-2900 |