Healthcare Provider Details

I. General information

NPI: 1336290212
Provider Name (Legal Business Name): WILLIAM VICTOR BUEHLMAN C.A.T.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE SAN FRANCISCO GENERAL HOSPITAL,OTOP, BUILDING 90
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

438 PARIS ST
SAN FRANCISCO CA
94112-2716
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-3947
  • Fax: 415-206-6875
Mailing address:
  • Phone: 415-586-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number030808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: