| Recharge Medical And Day Spa | |
|
1456 California St San Francisco CA 94109-4712 | |
| (415) 409-3456 | |
| Not Available |
| Full Name | Recharge Medical And Day Spa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1456 California St, San Francisco, California |
| Authorized Official Name and Position | Philippe Nguyen (PHYSICIAN) |
| Authorized Official Contact | 4154093456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recharge Medical And Day Spa 1456 California St San Francisco CA 94109-4712 Ph: (415) 409-3456 | Recharge Medical And Day Spa 1456 California St San Francisco CA 94109-4712 Ph: (415) 409-3456 |
| NPI Number | 1821436791 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Medicare PECOS PAC ID | 2769700590 |
|---|---|
| Medicare Enrollment ID | O20150407002047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821436791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FNP40527 (California) | Primary |
| Provider Name | Philippe T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821160573 PECOS PAC ID: 2668456120 Enrollment ID: I20051109000641 |
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