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NPI Code Detail

MEDICARE: SFCC DEPARTMENT OF PUBLIC HEALTH

MEDICARE: SFCC DEPARTMENT OF PUBLIC HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1437379500
Entity Type Code : Organization
Provider Name (Legal Business Name) : SFCC DEPARTMENT OF PUBLIC HEALTH
Provider Business Mailing Address
First Line : 1380 HOWARD ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2638
Country : US
Telephone Number : 415-355-8300
Fax Number :
Provider Business Practice Location Address
First Line : 1520 HOWARD ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2525
Country : US
Telephone Number : 415-355-8300
Fax Number :
Authorized Official
Title or Position : DIRECTOR CBHS
Name : DR. ROBERT PAUL CABAJ
Credential : M.D.
Telephone Number : 415-255-3401
Provider Enumeration Date : 04/30/2007
Last Update Date : 08/22/2020

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Directions to “SFCC DEPARTMENT OF PUBLIC HEALTH ” Practice Location

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