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NPI Code Detail

MEDICARE: FELTON INSTITUTE

MEDICARE: FELTON INSTITUTE
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1538211065
Entity Type Code : Organization
Provider Name (Legal Business Name) : FELTON INSTITUTE
Provider Business Mailing Address
First Line : 4326 TOMPKINS AVENUE
Second Line :
City : OAKLAND
State : CA
Zip : 94619
Country : US
Telephone Number : 415-474-7310
Fax Number :
Provider Business Practice Location Address
First Line : 1010 GOUGH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7622
Country : US
Telephone Number : 415-474-7310
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL & OPERATIONS OFFICE
Name : MARVIN DAVIS
Credential :
Telephone Number : 415-474-7310
Provider Enumeration Date : 01/17/2007
Last Update Date : 02/14/2020

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Directions to “FELTON INSTITUTE ” Practice Location

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