Healthcare Provider Details

I. General information

NPI: 1649352196
Provider Name (Legal Business Name): MR. IRVING OI-LING MOK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 SACRAMENTO ST
SAN FRANCISCO CA
94108-2505
US

IV. Provider business mailing address

720 SACRAMENTO ST
SAN FRANCISCO CA
94108-2505
US

V. Phone/Fax

Practice location:
  • Phone: 415-392-4453
  • Fax:
Mailing address:
  • Phone: 415-392-4453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT49179
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: