Healthcare Provider Details

I. General information

NPI: 1285173385
Provider Name (Legal Business Name): DINO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 HANCOCK ST
SAN FRANCISCO CA
94114-2531
US

IV. Provider business mailing address

140 HANCOCK ST
SAN FRANCISCO CA
94114-2531
US

V. Phone/Fax

Practice location:
  • Phone: 415-728-1977
  • Fax:
Mailing address:
  • Phone: 415-728-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL O'ROURKE
Title or Position: CEO
Credential:
Phone: 415-728-1977