Starvista | |
1720 S Amphlett Blvd Ste 123 San Mateo CA 94402-2710 | |
(650) 591-9623 | |
(650) 591-4163 |
Full Name | Starvista |
---|---|
Speciality | Community/behavioral Health |
Location | 1720 S Amphlett Blvd Ste 123, San Mateo, 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: (650) 591-9623 | Starvista 1720 S Amphlett Blvd Ste 123 San Mateo CA 94402-2710 Ph: (650) 591-9623 |
NPI Number | 1861914756 |
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Provider Enumeration Date | 07/12/2017 |
Last Update Date | 05/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861914756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
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