DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SCOTT MARION RALSTON

MEDICARE:   SCOTT MARION RALSTON
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
11041C0700XClinical Social Worker75965CA

General Provider Information

NPI Number : 1639450398
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT MARION RALSTON
Provider Business Mailing Address
First Line : 526 S SAN PEDRO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-2102
Country : US
Telephone Number : 213-488-9559
Fax Number :
Provider Business Practice Location Address
First Line : 837 ADDISON ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2047
Country : US
Telephone Number : 510-981-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 11/19/2024

Similar Medicare Providers

1427483940 — KA TUNG HUI PHARM.D
Practice Location Address:
837 ADDISON ST
BERKELEY, CA
94710-2047
Practice Phone: 206-427-3587
Practice Fax:
1427466465 — NAPOLEON NAZARENO IV NP-C
Practice Location Address:
837 ADDISON ST
BERKELEY, CA
94710-2047
Practice Phone: 510-981-4100
Practice Fax:
1023462694 — VANESSA MARIE MAYEN R.N., N.P.
Practice Location Address:
837 ADDISON ST
BERKELEY, CA
94710-2047
Practice Phone: 510-981-4100
Practice Fax:
1578056453 — MELINDA MENKE MSN, FNP-C
Practice Location Address:
837 ADDISON ST
BERKELEY, CA
94710-2047
Practice Phone: 510-981-4100
Practice Fax:
1396211645 — LAKEYLA GARDNER NP
Practice Location Address:
837 ADDISON ST
BERKELEY, CA
94710-2047
Practice Phone: 510-981-4100
Practice Fax:
1831770791 — DR. HANNAH MILLS DRAGOMANOVICH DO
Practice Location Address:
837 ADDISON ST
BERKELEY, CA
94710-2047
Practice Phone: 510-981-4100
Practice Fax:

Directions to “ SCOTT MARION RALSTON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.