Healthcare Provider Details

I. General information

NPI: 1083524268
Provider Name (Legal Business Name): ISAAC MING WEISKOPF ASW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 PINE ST
SAN FRANCISCO CA
94109-4720
US

IV. Provider business mailing address

PO BOX 70032
OAKLAND CA
94612-0032
US

V. Phone/Fax

Practice location:
  • Phone: 415-635-5464
  • Fax:
Mailing address:
  • Phone: 415-635-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number139997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: