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NPI Code Detail

MEDICARE: RODERICK PICOU MA

MEDICARE: RODERICK PICOU MA
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1578741260
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODERICK PICOU MA
Provider Business Mailing Address
First Line : 4355 GEARY BLVD
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4355 GEARY BLVD
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3003
Country : US
Telephone Number : 415-668-5025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2008
Last Update Date : 08/14/2025

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Directions to “ RODERICK PICOU MA” Practice Location

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