| Starvista | |
|
1590 El Camino Real Ste J San Bruno CA 94066-5377 | |
| (650) 591-9623 | |
| Not Available |
| Full Name | Starvista |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1590 El Camino Real Ste J, San Bruno, California |
| Authorized Official Name and Position | Lillian Doherty (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Contact | 6505919623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starvista 610 Elm St Ste 212 San Carlos CA 94070-3070 Ph: () - | Starvista 1590 El Camino Real Ste J San Bruno CA 94066-5377 Ph: (650) 591-9623 |
| NPI Number | 1013439264 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 05/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013439264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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