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NPI Code Detail

MEDICARE: MS. DARIEN RAE LOMELI

MEDICARE: MS. DARIEN RAE LOMELI
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
1101Y00000XCounselor
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1528389657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARIEN RAE LOMELI
Provider Business Mailing Address
First Line : 368 FELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-5144
Country : US
Telephone Number : 415-861-0828
Fax Number : 415-861-0257
Provider Business Practice Location Address
First Line : 405 BAKER ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-1403
Country : US
Telephone Number : 415-346-7775
Fax Number : 415-346-7555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 10/01/2014

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Directions to “ MS. DARIEN RAE LOMELI ” Practice Location

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