| Vericare | |
|
81 Professional Ctr Pkwy San Rafael CA 94903-2797 | |
| (800) 257-8715 | |
| (800) 819-1655 |
| Full Name | Vericare |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 81 Professional Ctr Pkwy, San Rafael, California |
| Authorized Official Name and Position | Daniel R. Budd (ASSISTANT CORPORATE SECRETARY) |
| Authorized Official Contact | 8002578715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vericare 4715 Viewridge Ave Ste 230 San Diego CA 92123-1680 Ph: (800) 257-8715 | Vericare 81 Professional Ctr Pkwy San Rafael CA 94903-2797 Ph: (800) 257-8715 |
| NPI Number | 1528011764 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528011764 | NPI | - | NPPES |
| CC7816 | Other | CA | RAILROAD MEDICARE |
| GPS000150 | Medicaid | CA |
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